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Initial Podiatry Progress Note Date of Service: Facility: Room #: Patient: SEX: Attending: DLV: Date of Birth: Allergies: Responsive Capacity: Good Fair Poor Combative Place of service: Bedside Wheelchair.

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How to fill out the Initial Podiatry Progress Note - Bgotoinsightbbcomb online

Filling out the Initial Podiatry Progress Note is an essential aspect of podiatric patient care. This guide provides a comprehensive, step-by-step process to assist you in accurately completing the form online.

Follow the steps to fill out the Initial Podiatry Progress Note completely and correctly.

  1. Click the ‘Get Form’ button to access the form and open it in your online editor.
  2. Fill in the date of service, facility name, and room number in the respective fields. Be sure to confirm each entry for accuracy.
  3. Enter the patient's name, sex, attending physician, delivery method, and date of birth. Note any known allergies in the provided space.
  4. Assess and document the responsive capacity of the patient by selecting one of the options: good, fair, poor, or combative.
  5. Indicate the place of service between 'bedside' and 'wheelchair' based on the patient's condition.
  6. Select the patient's mobility status by indicating whether they are ambulatory or bedridden.
  7. Complete the clinical findings section, noting vascular exam results for both the right and left sides of the body.
  8. Record the temperature gradient status using either 'WNL', 'INC', or 'DEC' and document skin temperature findings.
  9. Assess for edema, hair growth, and any signs of dependent rubor/pallor/cyanosis. Indicate accordingly.
  10. Conduct the neurological exam by evaluating deep tendon reflexes and determining any significant neurological findings.
  11. Document the podiatric diagnoses in the specified section, listing multiple diagnoses if necessary.
  12. Assess other relevant factors and complete the orthopedic and dermatological exams as required.
  13. Outline a treatment plan, specifying any pertinent details regarding the patient's condition.
  14. Remember to sign the form as the podiatrist and note the date of filling the form.
  15. Finally, save your changes, or opt to download, print, or share the completed form based on your needs.

Complete your Initial Podiatry Progress Note online today to ensure reliable patient documentation.

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