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Plan
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1st PostOp Plan (global)
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Resume normal activities?
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Listed Restrictions
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Scar education & Massage?
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Has pt. continued scar massage?
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Avoidance of sun exposure?
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Is a revision needed? (N/A for same day)
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Recommended Revision
• • •
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Other Instructions
• • •
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Plan Comments
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Patient actions
• • •
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Scheduled follow up?
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Follow Up in _______
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Days/weeks/months
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Surgical plan
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Plan Comments (full sentences)
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2nd opinion?
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Cutaneous Surgery
• • •
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Planned Mohs/Repair Combo
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Excision with frozen path
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Repair Completed Mohs
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Mohs Repair (Nasal tip/ala)
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3mo PO
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Nasal surgery
• • •
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Sinus Surgery
• • •
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Very pleased....
• • •
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Further Wound Care Instructions
• • •
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Non-surgical plan for sinuses
• • •
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Steroid injection possible in future
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Please call office....
• • •
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Other Surgery
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Pt Hold Blood Thinners
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In Office location
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Offsite location
• • •
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Length of Procedure (# only)
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Smoking Cessation Discussed
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<3 minute discussion
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3-10 minute discussion
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Long discussion for Smoking Cess. topics
• • •
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Diet
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Diet Comments
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Patient Education
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Education Comments
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PT Recommendations
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PT Recommendation Comments (full sentences)
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MIPS
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Normal BMI Recorded
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Abnormal BMI Recorded
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Labs/Radio/PT/Referrals/HH
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Labs
• • •
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Lab Comments
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Radiology
• • •
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Radiology Comments
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Referrals
• • •
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Referral Comments
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Home Health
• • •
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Home health comments
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Restrictions
• • •
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Restriction Comments
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Discussion (plan/risk/benefits)
• • •
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Discussed patient care with Dr. ___________
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Photos
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Patient actions
• • •
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Photo documented
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Document Photo of Lesion/Area
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Follow up in _____ ***REQUIRED
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days/weeks/months
• • •
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Note Scribed by:
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Patient Referred to?
• • •
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