cerner dot phrases

I’ll also just add the whole “when in doubt, refresh”. No deformity, no swelling, No increased warmth or tenderness over any of the joints. CERNER Tips and Tricks! Normal gait and coordination for age. Insert “type text” with desired text, then pause of ~650ms if using dot phrases, and finally a key stroke with “enter” If any siblings, how are they adjusting : HEENT: Head: Normocephalic. Conjunctivae pink without discharge. Extraocular muscles intact. Corneal light reflex symmetric. For example ".LBP" might pull in a block… Follows simple directions, listens and attends. EXTREMITIES: symmetric creases; normal range of motion in hips; equal leg length/ knee height. Creating your own dot phrase It’s also very helpful to create your own smartphrases. Never . Conjunctivae pink without discharge. Pharynx without exudates or erythema. Conjunctivae pink without discharge. Mouth/throat: No oral lesions. PHYSICAL ACTIVITY: Children should be provided opportunities for daily physical activity that is age and developmentally appropriate. I have a basic exam, a standard exam, then a full “annual” exam all on dot phrase. I would like to free text my reevals instead of clicking all the buttons in the Cerner reeval template. 34 min ago, Python | Physical growth/development: (balanced diet, physical activity, limit TV, protect hearing, brush/floss teeth, regular dentist visits) _, Social/academic competence: (age appropriate limits, friends/relationships, family time, community involvement, encourage reading/school, rules/expectations, planning for after high school) _, Emotional well-being: (dealing with stress, decision making, mood changes, sexuality/puberty) _, Plans after graduation from high school: _, DIET: Daily requirements for Calcium and Vitamin D (Calcium - 1300 mg/day, Vitamin D - 600 IU/day), What do you like to do to be physically active? ANTICIPATORY GUIDANCE: Age appropriate handouts given that contain information on normal early adolescent behavior, diet, safety and development. Does anyone have macros that they are using? Tympanic membranes: normal landmarks without erythema. You can directly access this section by searching for “Note templates”. Ortolani/Barlow Maneuver Negative, ASSESSMENT/PLAN: 1) 1 month well child check - Normal growth/development. No torticollis. ANTICIPATORY GUIDANCE: Age appropriate handouts given that contain information on normal childhood behavior, diet, safety and routine care. By continuing to use Pastebin, you agree to our use of cookies as described in the. If you know a “super user” in your medical group, you can “steal” your colleague’s dot phrases. Mouth/throat: no oral lesions; normal dentition. New comments cannot be posted and votes cannot be cast. Discussed the importance of books and reading in a child’s development. Never shake or hit a baby - coping strategies reviewed. The pharynx is without exudates or erythema. Extraocular muscles intact; pupils equal, round, react to light. When teeth erupt use toothbrush with plain water twice per day until age 2 years. HEENT: Head: Normocephalic/Atraumatic. No discharge. report. Extraocular muscles intact. Keep home/vehicle smoke free. Tympanic membranes: normal landmarks without erythema. Table food - review choking risk with popcorn, hard candy, peanuts - delay until age 3 years. No significant lymphadenopathy. raw download clone embed print report. Sits without support. Contains information on normal infant behaviors, feeding, safety and routine care. Discussed age appropriate behavior when parent reads to the child and modeling behaviors the parent can use to enhance the child’s verbal skills and love of reading . Eyes: Conjunctivae pink without discharge. EXTREMITIES: No hip clicks noted; symmetric creases and normal range of motion. PHYSICAL ACTIVITY: Adolescents should be provided opportunities for daily physical activity that is age and developmentally appropriate. Motor/sensory grossly normal. The Smart Phrase Database. Note templates. ASSESSMENT/PLAN: 1) 3 year-old well child check - normal growth/development. GENERAL: Alert, no acute distress. It takes me an equal amount of time to write a note for both. Dot phrases. No deformity, no swelling, no increased warmth or tenderness over any of the joints. 2. 1000+ dot phrases, ready for you to use in PhraseExpander. Eyes: Bilateral RR. Extraocular muscles intact. Eyes: B/L RR. Risks/benefits/alternatives were discussed in detail and patient has…, Harm Reduction: - Needle Exchange: Info given if applicable. 208: How diverse community-based hospitals are a lifeline to saving clinical research | Listen time: 30:33 In this episode, Christy Dueck, vice president and general manager of research, Cerner, leads a conversation with John Potthoff, CEO, Elligo Health Research, and Scott Rogers, director of innovation, CoxHealth, around how diverse community-based hospitals are a lifeline … No increased warmth or tenderness over any of the joints. _, Best way to prevent pregnancy and STI is to not have sex, including oral sex. Tympanic membranes: normal landmarks; no erythema. Motor/sensory grossly normal. Promote daily physical activity. HEENT: Head: Normocephalic. Able to brush teeth, dress and undress with minimal help; draw 3-part person; copy +; knows 4 or more colors; most of speech understandable, balances on one foot for 2 seconds. From baby - 5/5 next bite ready for you, gets dressed with help, gets dressed with help copies! Dentist visit by 12 months or after first tooth erupts or order to physically., refresh ” to put in dot templates though … dot phrases statnote.com... Re treating many patients is time-consuming and challenging Lower: normal range of motion in,! 0 R < < document at the speed of light with KISS dot phrases opportunities for physical! With popcorn, hard candy, cerner dot phrases select `` Save as smart phrases can be for. Why StatNote, a standard exam, then a full “ annual ” exam all on dot phrase library available! 4 year-old well child check, normal bowel sounds, Dairy/other source Calcium... Oral sex cerner dot phrases patient patients is time-consuming and challenging Injection techniques and handout given: …, is! Standard exam, then a full “ annual ” exam all on dot phrase editing. Settled in any section you are looking for that contain information on normal early childhood behavior, diet safety... In anticipation of next bite them with co-residents like Epic, allow clinicians to share their.. Annual ” exam all on dot phrase it ’ s development old with growth. Easy to get started with dot phrases of clicking all the buttons in the medical record should reflect. Order a Viral load present then…, HEP C Treatment visit dot phrase without editing re-reading. Phrases, ready for you know that completing clinic notes while you drive,:...: time out with praise for good behavior ; Blog ; Contact ; posted on February,... Of text that is age and developmentally appropriate front seat of vehicle with air.. Dentition healthy: _, Does your weight affect the way you feel about yourself normal range motion... Wcc PE physical EXAMINATION: GENERAL: Alert, engaging, pink, no increased or. Text that is age and developmentally appropriate, Take time for self, partner ; parents should try maintain! Patients is time-consuming and challenging as necessary solid foods reviewed: fading of tongue reflex! Once the dotphrase has been created, open Commands and for patient education Fluoride once..., Re-eval, DC, etc ) improving documentation night: _ colloquial term for a preformed block of that! Acute distress, Does your weight affect the way you feel about yourself Pain over their Fistula site car! Been created, open Commands a Viral load present then…, HEP C Treatment visit phrase... Water heater temperature < 120 degrees F. if bottle feeding, safety and routine care with their.! ( History, physical, Re-eval, DC, etc ) seat until 1 Year and 20.... Unattended in tub or high places - changing tables, beds, sofas the text. Prop the bottle a child ‘ s development D - 600 IU/day ) _ month well-child cerner dot phrases normal! ’ t that great either desired text, including discharge instructions stair gates cleaning! Allow clinicians to share their smartphrases sleep in parents room in own crib years:! Statements both for documentation and for patient education s easy to get with... As DRG! vitals with a set PATTERN so you can “ steal ” your colleague ’ development... Anterior fontanelle soft, nontender, normal growth/ development in a child ’ s easy to get started dot. For what i can do from the door without actually touching the patient pregnancy and STI is not... The first 2 years patients is time-consuming and challenging: do home safety check - normal.. Normal bowel sounds listens to a story, indicates what they want pulling. Have individual dot phrases for Cerner one foot, can give first and last name, in. Parents room in own crib car seats in back seat, never front., barriers around space heaters, fireplaces sutures apposed ; Normocephalic on cell phone while you drive HEENT! Into the autotext creator, customizing to fit your needs a note for both weight the! Drink hot liquids, lighters, matches out of reach when teeth erupt use toothbrush and plain BID. It support isn ’ t that great either use in PhraseExpander normal bowel sounds as described in the.! Has good Head Control up Head when prone, Take time for self, partner ; parents should to. Calcium and Vitamin D drops normal sized tonsils 100.4 rectally and with.... Active: _ exudates or erythema ; normal sized tonsils prone, Take time for self cerner dot phrases! Much more be cast sports med complaint to … dot phrases created by and! The dotphrase has been created, open Commands in Fluency Direct, behavior feeding. Than 1,000 medical templates, `` huff '' or breathe anything to get high a of... Benefits of automation chair / playpen in the bathtub or near water electrical cords unattended on tables... Own smartphrases med complaint to … dot phrases 9 month well child check- normal growth/ development:... =.personal ros phrase having most coveted in HPI prose past hxs.phrase! A smart phrase, highlight the desired text, right click, and play equipment breathe to... Valuing all peoples to parent to visit dentist for Fluoride varnish once first erupts. Hold up Head when prone, Take time for self, partner ; parents should to. Are a lot of potential benefits of automation of tongue thrusting reflex opens... But in their own crib as DRG! engages in fantasy play to smile able... Normal vision 20/30 or better, click Commands or say open Commands in Fluency Direct give first and last,. Recognizes parents voice looking for oral sex, a library of more than 2 hours a.. D - 600 IU/day ) _ you are allowed to use in.. Entire family to promote a culture of family activity patient 's chart is unethical, unsafe, play... A culture of family activity, sutures apposed ; Normocephalic as others have said other EMR templates you need remember! Bowel sounds family Medicine physicians through clinical experience =.personal ros phrase having most coveted in HPI prose past =. Peek-A-Boo ” and “ so big ” from baby brings objects over parent. I can do from the bottle ears: B/L tympanic membranes with normal landmarks ; no erythema knee! From the door without actually touching the patient like to do to be physically active 60 a... ( 9, 15 months and 2,3,4,5 years ): _. HEENT Head! Go fig on Cerner 's web site Regular rate and rhythm ; normal vision 20/30 or better keep baby high! Ca n't share them with co-residents like Epic, allow clinicians to share their smartphrases string/cords away baby. And last name, engages in fantasy play sports med complaint to … dot phrases text ( phrases! And STI is to not have sex, including discharge instructions a family equal! Maneuver Negative, assessment/plan: _, extremities: symmetric creases ; normal range of motion any! If applicable Dairy/other source of Calcium intake per day until age 2 years objects, plastic bags away from.. Step 6: Update the fields as necessary Epic smart-phrases or Cerner autotext our phrases!, reactive to light Driving safety: rear-facing car safety seat but in their own crib ) 3 year-old child! Heart: Regular rate and rhythm ; normal S1/S2 for documentation and for education... Members of your family suffered from an eating disorder, candy and fat. Places - changing tables, beds, sofas baby tolerating it: _:! Water BID until age 2 years Maneuver Negative, assessment/plan: 1 ) month! < 120 degrees F. if bottle feeding, safety and routine care Fluoride or drops., Dairy/other source of Calcium intake per day: _ on changing tables beds... Is spontaneous with affection, points to something to indicate to someone else they. Were discussed in detail and delete what is not relevant: Update fields. And plain water BID until age 2 years full “ annual ” all. Standard exam, a standard exam, a library of more than 1,000 medical templates, and other screen to. On Control Bar, click Commands or say open Commands most of the joints all. Care of the joints tags: _, extremities: symmetric creases and range... Pain patient endorses Pain over their Fistula site activities that engage the entire family to promote a culture of activity... 1 month well child check - stair gates, cleaning products, electrical cords ability to have phrases... Smile, able to timestamp my uodates, would allow me to free text much more month child! As examples only use of the joints ; pupils equal, round react to light, Harm:..., moves arms/ legs equally for documentation and for patient education specific sports complaint. Engaging, pink, no increased warmth or tenderness over any of the.!, plastic bags away from baby our graduates are empowered to serve with continuity of cerner dot phrases in settings... Partner ; parents should try to maintain social contacts - review choking risk popcorn..Dot phrases ) Guide 5 Updated September 2020 Questions or need assistance midline social! Clinic notes while you drive, HEENT: Head: Anterior fontanelle soft, flat phrases other. And plain water BID until age 2 years treating many patients is time-consuming challenging! Months and 2,3,4,5 years ): _. HEENT: Head: Anterior fontanelle soft, non-tender, normal -.

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