Diagnosis and codes
D48.5 Neoplasm of uncertain behavior of skin.
Checklist
- Biopsy: Excision Biopsy Pre-procedure Checklist
- Biopsy: Punch Biopsy Pre-Procedure Checklist
- Biopsy: Shave Biopsy Pre-Procedure Checklist
- Cervical Polypectomy
- Circumcision Pre-Procedure Checklist
- Colposcopy Pre-Procedure Checklist
- Diabetes foot exams
- Hip Injection
- Incision and Drainage (I & D) Pre-Procedure Checklist
- Ingrown Toenail Removal Equipment
- Laceration Repair Pre-Procedure checklist
- Nexplanon Insertion Equipment
- Nexplanon Removal Equipment
- Obstetric Perineal Laceration Repair Equipment
- Shoulder Joint Injection Pre-procedure Checklist
- Skin Tag Removal
Procedure Notes
- Diabetes foot exams
- Excision Biopsy Note
- Gomco Circumscision Note
- Ingrown Toenail Removal Procedure Note
- IUD (Intrauterine Device) Insertion Procedure Note
- Laceration Repair Procedure Note
- Nexplanon (Etonogestrel Implant) Removal Note
- Nexplanon Insertion Procedure Note
- Shoulder Injection Procedure Note
- Skin Tag Removal
Procedure Notes from Ventura Family Medicine: http://www.venturafamilymed.org/cerner-ehr-tips/autotexts/399/preoperative-risk-assessment-for-mace
Other Information
- Blade Types You Need to Know
- Central Line Placement – Internal Jugular Vein
- Complications of Intra-articular or Soft Tissue Glucocorticoid Injections
- Contraindications to Intraarticular or Soft Tissue Glucocorticoid Injections
- Emergency cricothyrotomy (cricothyroidotomy)
- Gout and MTP Joint Arthrocentesis
- Hemostasis agents for punch and shave biopsies
- Medication Doses and Needle Choices for Intra-articular or Soft-Tissue Joint Injections
- Needle Sizes for Intraarticular Steroid Injections
- Physician Orders – Procedures
- Procedure List for Family Medicine Residency
- Rapid Sequence Intubation
- Shoulder Injection Procedure Note
- Suture size and indication.
- Suture Type and Timing of Removal by Location
- Suture Types: Absorbable vs. Nonabsorbable Sutures
- Ultrasound
Other procedures of interest
- Toenail removal
- Shoulder injection
- Central Line Placement
- Abdominal Paracentesis
- Thoracentesis
- Placing a chest tube
- Lumbar Punctures
- How to use a U/S Machine
- Joint injection
- Joint aspiration
- Ventilator Management
- Anoscopy
- Ear examination & Cerumen extraction and washing.
- Paps
- Colposcopy
- Nextplanon placement
- IUD placement & Removal
- Endometrial biopsy
Reference Textbooks
There are several textbooks that are good to have in your clinic for easy review before procedures. Below are some good ones I’ve come across.
- Dermatologic and Cosmetic Procedures in Office Practice, by Drs. Richard Usatine, et all. This book provides clear, step-by-step guidance for doing many clinic procedures.
“Lidocaine (Xylocaine) buffered with sodium bicarbonate decreases the pain associated with injection; this effect is enhanced when the solution is warmed to room temperature.” AFP 2014
Other strategies to minimize pain during injection include: 1) Rapidly inserting the needle through the skin, 2) injecting the solution slowly and steadily while withdrawing the needle, and 3) Injecting into the subcutaneous tissue also minimize the pain of injection. (AFP 2014)
Further Reading / References
Latham JL, Martin SN: Infiltrative anesthesia in office practice. Am Fam Physician 2014;89(12):956-962.