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