Diabetes foot exams

Procedure Checklist, Procedure Notes

Last foot exam was: Consent was obtained and the procedure explained. Adequate exposure of entire legs was done. Visual inspection: Gen inspection reveals no missing limb, toes. Normal limb color (no erythema or pallor). On close examination, no hair loss (e.g. from...

Nexplanon Insertion Equipment

Procedure Checklist

Upon patient arrival. UCG test Implant insertion and consent form Complete Patient Implant Insertion Checklist In procedure room. Povidone iodine or Chlorhexidine in cup with swabs 2 cc 1% Lidocaine with 25 gauge x 1.5” needle and syringe OR Spray-on anesthesia...

Colposcopy Pre-Procedure Checklist

Procedure Checklist

Colposcope Biopsy forceps Vaginal speculums Endocervical speculum (Kogan, both narrow and wide types) Endocervical curette (Kevorkian curette, no basket) Single Tooth Tenaculum. Ring forceps Cervical hook (rarely used) Normal Saline Acetic acid solution 3% to 5%...

IUD (Intrauterine Device) Insertion Procedure Note

Procedure Notes

Procedure Name: IUD placement Indication: Patient desires long-term, reversible contraception. Pre-Procedure Diagnosis: Post-Procedure Diagnosis: Same Informed consent: Procedure, alternate treatment options, risks, and benefits were thoroughly explained to the...