Get Wound Reference Physician Order 2018-2025

Filling out the Wound Reference Physician Order online can streamline the process of documenting treatment for patients with compromised skin grafts or flaps. This guide provides step-by-step instructions to help users efficiently complete each section of the form.

Follow the steps to fill out the Wound Reference Physician Order online.

1. Press the ‘Get Form’ button to obtain the Wound Reference Physician Order and open it in your chosen editor.
2. Begin by entering the patient's name in the designated field, ensuring accuracy as this information is vital for identification.
3. Record the date of the order to establish a timeline for treatment.
4. List any known allergies to prevent adverse reactions during treatment.
5. In the 'Hyperbaric Oxygen Treatment Order' section, indicate the diagnosis by checking the appropriate box for 'Compromised Skin Graft' or 'Compromised Skin Flap'.
6. Specify the pressure and oxygen levels required for treatment by checking the relevant options in 'Pressure/O2'.
7. Set the frequency of treatments by selecting 'BID' or another frequency as needed.
8. Indicate if scheduled air breaks are necessary and detail how they will be administered.
9. Determine the total number of treatments and indicate this by checking the corresponding box.
10. Identify monitoring needs, ensuring that essential options for cardiac monitoring are selected.
11. List any medications required prior to treatment, using the spaces provided for any additional medications.
12. If laboratory tests are required, check the appropriate boxes for each test.
13. In the wound care section, specify the daily dressing change or planned surgical procedures as necessary.
14. Complete the restraints section if soft limb restraints are needed for treatment.
15. Finally, the physician must sign the order and date it to validate the document. Users can then save changes, download, print, or share the completed form.

Complete your documents online efficiently and accurately!