Decompensated cirrhosis is defined as: - Be treatment naïve to novel HCV treatment (IFN/Ribavirin OK). **If the patient also has HIV, these patients will be managed by Dr. Pawson and the resident. Ventura County Medical Center Family Medicine Residency Program Office of Medical Education 300 Hillmont Avenue, Bldg 340, Room 120 Ventura, California 93003 AFMC Clinic Phone: (805) 652-6100 Medical Education Office Phone: (805) 652-6228, Full-Spectrum Family Medicine Residency Program, Please login to access protected content at venturafamilymed.org. As a peds resident, I made a dot phrase. CVS caremark Rx filled out and forwarded to care manager. sdshah@uchicago.edu. If you are looking for Urgent Care dot phrases… If Viral load present then proceed with labs and workup below. We are Full Spectrum Family Medicine. - Be treatment naïve to novel HCV treatment (IFN/Ribavirin OK) - Not have concurrent immune-modulating disorders such as tuberculosis or be on immunosuppressive therapies such as interferon, TNF alpha inhibitors, cyclosporine, etc. If prescribed an antibiotic or prednisone, take all of the medicine even if you are feeling better after a few days. Ventura County Medical Center Family Medicine Residency Program Office of Medical Education 300 Hillmont Avenue, Bldg 340, Room 120 Ventura, California 93003 AFMC Clinic Phone: (805) 652-6100 Medical Education Office Phone: (805) 652-6228, Full-Spectrum Family Medicine Residency Program, Please login to access protected content at venturafamilymed.org. First, order a Viral load if antibody positive. 1. All the numbers from all systems, weight change, ecmo/ventilator settings, even the … To practice family medicine, doctors must also complete a three-year residency program after medical school. San Jose, California, United States. May add an additional 2-4 mg as needed throughout the day. By _ hours, patient is usually in moderate withdrawal. On exam the patient did not respond to verbal or physical stimuli. Note, long acting opiates and methadone may take up to 36 hours for the initiation of withdrawal. _ used a dirty needle. Ventura County Medical Center Family Medicine Residency Program Office of Medical Education 300 Hillmont Avenue, Bldg 340, Room 120 Ventura, California 93003 AFMC Clinic Phone: (805) 652-6100 Medical Education Office Phone: (805) 652-6228 Take prescribed medicine exactly at the times advised. #EtOH _Pt denies use. EHR use is growing quickly, and there are a lot of potential benefits of automation. As a peds resident, I made a dot phrase. DAST tool was completed and screened + for severe substance abuse. Pt declines both and would like to detox as an outpt at home. If you have a hand-held inhaler or aerosol breathing medicine, do not use it more than once every four hours, unless told to do so. Here's my first offering, … **NOTE: If the patient also has HIV, these patients will be staffed and co-managed by Dr. Pawson. Next step will be f/u with care manager. Dr. [Attending] notified. These patients should be seen by Hepatitis C clinic. Ventura County Medical Center Family Medicine Residency Program Office of Medical Education 300 Hillmont Avenue, Bldg 340, Room 120 Ventura, California 93003 AFMC Clinic Phone: (805) 652-6100 Medical Education Office Phone: (805) 652-6228 If NO viral load detected, please discuss with an attending and do NOT workup. **If the patient also has HIV, these patients will be managed by Dr. Pawson and the resident. Based on the above classification the patient will undergo Treatment with the following: Compensated Cirrhosis (Child Pugh A) or less: Mavyret x 8 weeks, 1) Medication reconciliation was performed as the above medication is known to interact with several medications including the following – Antiarrhythmics ( Digoxin), Pradaxa, Ethinyl estradiol- containing medications such as combined oral contraceptives, statins including Lovastatin, Atorvastatin, Simvastatin, Anti-Convulsants (carbamazapine), Antimycobacterials (rifampin), HIV Medications, or Herbal Supplements (St John’s Wort). Ventura County Medical Center Family Medicine Residency Program Office of Medical Education 300 Hillmont Avenue, Bldg 340, Room 120 Ventura, California 93003 AFMC Clinic Phone: (805) 652-6100 Medical Education Office Phone: (805) 652-6228 Emergency Naloxone Programs - Patient Information. 30 minutes spent in interviewing and counselling and discussing the plan and coordinating care. First, order a Viral load if antibody positive. Pt still opts in for self detox. Please message Dr. Pawson. Labs and F/u appointments given to patient. Please read in detail and delete what is not relevant. First, order a Viral load if antibody positive. These sample Family Medicine residency personal statements are here for your viewing pleasure (fully anonymous). Hep C Initial Visit Dot Phrase 1. Educate patient and RN that buprenorphine is a sublingual formulation and proper technique. If you do not use the electronic medical record Epic Hyperspace, this article is probably of no interest to you. Pt advised that the best option would be inpt detox at a center like Cottage but pt declines. May divide dosing as needed for pain/anxiety. These are text, ranging from one word, to … Insert Hep C genotype (and NS5A testing result when applicable) Hepatitis A/B antibody results show immunity OR Prior Hepatitis Vaccinations completed or started - _ DIAGNOSTICS Prior Imaging (within the last 6 months)- needed only if concerned for cirrhosis Assessment/Plan I have verified that patient meets inclusion criteria: Prior Tx with a novel agent (IFN/Ribavirin are OKAY) - NO Cirrhosis – YES OR NO Decompensated (Child-Pugh B/C) = NO - no h/o Varices, Encephalitis, Ascites, Jaundice, or hospitalization for complications of liver disease *If patient has decompensated cirrhosis, or h/o failed prior Tx using a novel agent, the patient will be referred to Hepatology Clinic. FPM Toolbox Coding and Documentation. If pt meets above criteria, bring pt back for a Hep C treatment consultation visit with resident and a core faculty as well as sending a Cerner message to AFMC Case Manager Pool. _ Pt acknowledges using _ times per week, or _ times per month. Furthermore, the neck exam is benign and reassuring in its entirety. - Not have concurrent immune-modulating disorders such as tuberculosis or be on immunosuppressive therapies such as interferon, TNF alpha inhibitors, cyclosporine, etc. Download tools to help you understand coding and documentation requirements for new and established patient visits. Day 3+: Give total Day 2 dose on Day 3 as a once daily dose in the AM unless divided dosing needed for pain/anxiety. Obtained it via _ #Meth: _Pt denies use. If you have a hand-held inhaler or aerosol breathing medicine, do not use it more than once every four hours, unless told to do so. Day 2: Give total Day 1 dose on Day 2 as a once daily dose in the AM. Get immediate care and visit with providers from the … May decrease dose as needed for any adverse effects. Pt does not have tremors/shakes or other w/d sx if not drinking and has recently had a timeframe of >1 week of no EtOH w/o sx. We are full spectrum Family Medicine. #Immodium 1 tab q6 prn diarrhea #Trazodone 100mg, ½ - 1 tab qhs prn insomnia #5 #Baclofen 10mg TID prn spasms #15 #Zofran 4mg q6 prn nausea #15 #Pt counselled on potential use of Kava Kava and to discuss this with a naturopath or holistic provider to determine if it would be safe to take with the above. MedMacros provides doctors with thousands of templates for all their medical documentation needs. It works with all electronic medical records systems (EMR) and can be accessed from anywhere. Step 3: Add a new smart phrase by clicking on the “+” icon. If pt meets above criteria, bring pt back for a Hep C treatment consultation visit with resident and a core faculty as well as sending a Cerner message to AFMC Case Manager Pool. If you've got one to add to the free library, don't forget to contribute yours. “Carl never goes out with his coworkers after work. We also have great dot phrases for Pediatrics and OBGYN. If you are looking for Urgent Care dot phrases… If Viral load present then proceed with labs and workup below. There was… Family Medicine and Internal Medicine dot phrases include templates for annual physicals and wellness visits. _ Pt acknowledges using _ times per week, or _ times per month. Recently Shared Files From the. Ventura Family Medicine Residency Program at VCMC. If Viral load present then proceed with labs and workup below. If prescribed an antibiotic or prednisone, take all of the medicine even if you are feeling better after a few days. Take PPI or fast acting antacids 4 hours after taking sof/vel. He’s a true family man, and always rushes home to be with his wife and kids.” “I won’t spend my bonus on myself. If the patient does not meet criteria, then refer to GI HEP C clinic and still send Cerner message to AFMC Case Manager Pool. Insert Hep C genotype (and NS5A testing result when applicable), as the above medication is known to interact with several medications including the following – Antiarrhythmics ( Digoxin), Pradaxa, Ethinyl estradiol- containing medications such as combined oral contraceptives, statins including Lovastatin, Atorvastatin, Simvastatin, Anti-Convulsants (carbamazapine), Antimycobacterials (rifampin), HIV Medications, or Herbal Supplements (St John’s Wort). We're hoping to add more in the future, including Pre-Med personal statements. If eligible based on above THEN order the following labs (within 12 weeks of initiating treatment): - CBC - Coags - CMP, - AFP (if cirrhotic) - Fibrotest Order via Quest Flexitest o Name: FibroTest-ActiTest Panel o Test code: 92688 o 3.5 mL FROZEN - HIV (within 30 days) - Hep A/B antibody (within 30 days) or start Hepatitis Vaccination- Liver imaging (e.g. With templates for well woman and well child checks or sports physicals. Prior to 72 hours, any provider may begin buprenorphine. Smart Phrases. Its value is really augmented by getting those from elsewhere to share their's as well. You may be seeing this page because you used the Back button while browsing a secure web site or application. Educated on harm reduction. All templates, "autotexts", procedure notes, and other documents on these pages are intended as examples only. Please message Dr. Pawson. - Please provide enough Rx for patient to last until an appointment with a bup provider. Do not just copy and paste. - hydroxyzine 25mg po q6 hours prn anxiety. Pt to f/u w/ either me or PCP in 4-5 days after cessation for evaluation. Syncope Dot Phrase. 4. Review and revise patient history (PMH, PSH, family, social) 5. Review, reconcile, and refill patient medications under the “Medications” tab 6. Review and update the “Healthcare Maintenance” tab 7. - By 72 hours, ensure an x-waiver provider is involved in this case. This patient does not have HIV or Hep B co-infection. CVS caremark Rx filled out and forwarded to care manager. With templates for well woman and well child checks or sports physicals. In the world of EHRs these are known as smart phrases or dot phrases. The Smart Phrase Database. Not long ago, someone mentioned that we should create a "databank" of CDM phrases regarding MDM/etc that we felt were rather medicolegally useful for community sharing/use. I have 1 for what I can do from the door without actually touching the patient. Coronavirus Concern — Confirmed or Suspected. Family Medicine and Internal Medicine dot phrases include templates for annual physicals and wellness visits. S: #Opiates: Pt currently using _. StatNote Dot Phrases powered by TextExpander TextExpander pastes all your frequently used dot phrases into any EHR in a snap! Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient. Welcome to MDMacros - your source for FREE electronic medical record Macros, SmartTexts and DotPhrases. Description: Epic smart phrase with syncope differential diagnosis and initial workup plan. This thread can be that place to contribute. Next step will be f/u with care manager. FPM Toolbox Encounter Forms. Among them, the ability to have preformatted phrases and statements both for documentation and for patient education. Abbreviation System Description More Details. Note templates which have been created for ease of use of emergency medicine, family medicine, and urgent care providers. Merely copying and pasting a prewritten note into a patient's chart is unethical, unsafe, and possibly fradulent. HEP C Treatment Visit Dot Phrase. Ensure patient has had NO opiates for at least 6 hours (short acting). Ethanol … I examined the patient and there was no pupillary response to light. Message sent to AFMC Case Manager Pool who will schedule apt. May decrease dose as needed for any adverse effects. Download encounter forms to help ensure accurate documentation for asthma, diabetes, hypertension, and other conditions common in primary care. Absent peripheral pulses. There are several I use. If eligible based on above THEN order the following labs (within 12 weeks of initiating treatment): - Hep A/B antibody (within 30 days) or start Hepatitis Vaccination. Labs and F/u appointments given to patient. 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