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Autotext Dot Phrases for Cerner EHR

All templates, "autotexts", procedure notes, and other documents on these pages are intended as examples only for educational purposes.  Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient.  Do not merely copy and paste a prewritten note element into a patient's chart - "cloning" is unethical, unsafe, and potentially fradulent.

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  • venturafamilymed
    • Sep 8, 2021
    • 1 min read

Nexplanon Removal Procedure Note

PRE-OP DIAGNOSIS: Nexplanon, desire for change of contraception POST-OP DIAGNOSIS: Same PROCEDURE: Nexplanon Removal Performing Physician: _ PROCEDURE: Anesthesia: 2% Lidocaine w/ epinephrine 5 ml Procedure: Consent obtained. A time-out was performed prior to initiating procedure to be sure of right patient and right location. The area surrounding the Nexplanon was prepared with Choloraprep and draped in the usual sterile manner. The site was anesthetized with lidocaine. A skin incision was made over the distal aspect of the device. The capsule lysed sharply and the device removed using a hemostat. Hemostasis was assured. The site was dressed with _ Dermabond _ SteriStrips and a pressure dressing. The patient tolerated the procedure well. Followup: The patient tolerated the procedure well without complications. Standard post-procedure care is explained and return precautions are given. Contraception is advised until conception is desired.

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