|
Wound Care
|
|
|
Debridement Performed?
|
Subq Debridement
|
|
|
Preparation for Graft
|
|
Biopsy
|
Culture
|
|
Wound Dressings
• • •
|
|
|
Wound Dressings Freetext
|
|
|
Wound Care Plan
|
|
|
Graft Applied?
|
|
|
Graft Product Selection
• • •
|
|
|
Graft Wound Quality
|
|
|
Graft Diabetes
• • •
|
|
|
Graft Venous
• • •
|
|
|
Graft Tobacco
• • •
|
|
|
Initial Measurements
|
|
|
4 Week Measurements
|
|
|
Graft Chronic Wound
|
|
|
Graft Plan
|
|
|
|
|
|
Diabetic Hygeine
|
|
|
Offloading
|
|
|
Skin Care
|
|
|
Dietary
|
|
|
|
|
|
Orders
|
Order Comments
|
|
Labs
• • •
|
Lab Comments
|
|
Radiology
• • •
|
Radiology Comments
|
|
|
|
|
|
|
|
Onychomycosis
|
Onychomycosis Tx
• • •
|
|
Nail Biopsy
|
Nail Debridement
|
|
Callus Debridement
|
Onychomycosis Comments
|
|
|
Class A
• • •
|
|
|
Class B
• • •
|
|
|
Class C
• • •
|
|
|
|
|
Onychocryptosis
|
Onychocryptosis Tx
• • •
|
|
Biopsy/Culture
|
Additional Comments:
|
|
|
|
|
Plantar Fasciitis
|
Plantar Fasciitis Treatment
• • •
|
|
Night Splint
|
|
|
Custom Orthotics
|
Injection
|
|
Plantar Fasciitis Comments
|
|
|
|
|
|
Metatarsalgia
|
Metatarsalgia Treatment
• • •
|
|
Metatarsalgia Comments
|
|
|
|
|
|
Neuroma
|
Neuroma Treatment
• • •
|
|
Neuroma Comments
|
|
|
|
|
|
Deformity
|
|
|
Deformity Discussion
• • •
|
Deformity Treatment
• • •
|
|
Toe Strapping
|
Deformity Comments
|
|
|
|
|
Fracture/Sprain/Contusion/Tendonitis/Arthritis
|
|
|
Fracture Discussion
• • •
|
Fracture Treatment
• • •
|
|
Fracture/Sprain Comments
|
Pneumatic Walker
|
|
Supplies
|
Supplies Select
• • •
|
|
Lace Up Ankle Brace
|
|
|
|
|
|
Verruca
|
|
|
Canthacur
|
Cryotherapy
|
|
Debridement
|
Topical Cream
|
|
Additional Comments:
|
|
|
Supplies
|
|
|
|
|
|
Tinea Pedis
|
Tinea Pedis Treatment
• • •
|
|
Supplies
|
Supplies Select
• • •
|
|
Tinea Comments
|
|
|
|
|
|
Xerosis/Eczema/Rash
|
Xerosis Treatment
• • •
|
|
Additional Comments:
|
|
|
Supplies
|
Supplies Select
• • •
|
|
|
|
|
Pain/Neuropathy
|
Pain/Neuropathy Treatment
• • •
|
|
|
Pain/Neuropathy Comments
|
|
|
|
|
Mass Or Cyst
|
Mass or Cyst Treatment
• • •
|
|
Additional Comments:
|
|
|
Aspiration
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gout
|
Gout Treatment
• • •
|
|
|
Gout Comments
|
|
|
|
|
Foreign Body
|
Foreign Body Comments
|
|
|
|
|
Swelling
|
Swelling Treatment
• • •
|
|
|
Venous Comments
|
|
|
|
|
Calcaneal Apophysitis
|
Calcaneal Apophysitis Treatment
• • •
|
|
|
Calcaneal Apophysitis Comments
|
|
|
|
|
Operative Report
|
Findings
|
|
|
|
|
Post Operative
|
Findings
|
|
|
|
|
Other
|
Findings
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Return Time
• • •
|
Return Reason
• • •
|
|
|
|
|
Medical Decision Making
|
|
|
Number/Complexity
|
|
|
Data
|
|
|
Risk
|
|
|
Total
|
|
