Gomco Circumscision Note

A timeout procedure was completed before the actual procedure. The infant was developmentally positioned on the circumcision board. The genital area was scrubbed x 3 with a povidone-iodine solution. Sterile drapes were laid. Dorsal penile nerve block was given with 2...

Ingrown Toenail Removal Procedure Note

Procedure Name: Ingrown Toenail Removal Indication: Pain, infection Location: ________ Pre-Procedure Diagnosis: Ingrown Toenail Post-Procedure Diagnosis: Same, removed Informed consent: Procedure, alternate treatment options, risks, and benefits were thoroughly...

Nexplanon (Etonogestrel Implant) Removal Note

Procedure Name: Progestin Implant Removal Indication for Removal: ** Abnormal bleeding / Desires pregnancy / Due for Removal / Side effects / Other Location / Side: *** Pre-Procedure Diagnosis: *** Post-Procedure Diagnosis: ***, removed Informed consent: Procedure,...

Shoulder Injection Procedure Note

Procedure Name: Shoulder Joint Injection Indication: Pain Location: ******* Pre-Procedure Diagnosis: **** Post-Procedure Diagnosis: Same Informed Consent and Counseling: The procedure, alternative treatment options, risks, and benefits were thoroughly explained to the...