SKIN: No lesions noted. ... NEVER use a dot phrase without editing or re-reading. As a primary care physician, you know that completing clinic notes while you’re treating many patients is time-consuming and challenging. Parental concerns/questions reviewed and answered. ANTICIPATORY GUIDANCE: Discussed. Recommended to parent to visit dentist for fluoride varnish once first tooth erupts or order to be applied in clinic where available. Sarah Morgan St. Vincent, Indianapolis, IN. Sharp disc margins / normal vasculature. Tympanic membranes: normal landmarks without erythema. Cover/un-cover test normal; normal vision 20/30 or better. _, Do you ever sniff, “huff” or breathe anything to get high? 1000+ dot phrases, ready for you to use in PhraseExpander. Pharynx: no exudates or erythema. Menu Home; About; Blog; Contact; Posted on February 6, 2021 by Safety issues discussed: Do home safety check - stair gates, cleaning products, electrical cords . 2 Conflict of Interest Disclosure •Nothing to disclose •Authorization to use my own Cerner chart for demonstration purposes Department of … Equal knee height, ASSESSMENT/PLAN: 1) 9 month well child check - normal growth/development. Safety area discussed: Do not leave the baby unattended in tub or high places - changing tables, beds, sofas. Contains information on normal infant behaviors, feeding, safety and routine care . Cranial nerves grossly intact. report. Do not leave child alone in the bathtub or near water. Corneal light reflex symmetric. Never . Ortolani/Barlow Maneuver Negative, ASSESSMENT/PLAN: 1) 1 month well child check - Normal growth/development. I organize by location (History, Physical, Re-eval, DC, etc). ANTICIPATORY GUIDANCE: Discussed. Discussed the Read to Succeed program with parent. Once the dotphrase has been created, open Commands in Fluency Direct. _, Have any members of your family suffered from an eating disorder? Environmental Toxic Screen-SEEK (2, 9, 15 months and 2,3,4,5 years). 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 . Thank you! Extraocular muscles intact; pupils equal, round, react to light. PHYSICAL ACTIVITY: Children should be provided opportunities for daily physical activity that is age and developmentally appropriate. Not a member of Pastebin yet? Fistula Pain Fistula Bleeding Fistula Infection Fistula Pain Patient endorses pain over their fistula site. Normal dentition. STEP 6: Update the templated text in the Text field. NECK: Supple. Mouth/throat: No oral lesions. What do you like to do with your friends: _, How many hours a day do you spend on none- academic screen time: _, Have you used any form of tobacco (Including e-cigarettes)? Example. Add any templates here. Pro Tip: Dot phrases can be a great way to save time and get charts completed more efficiently, but make sure to customize each chart depending on the unique circumstances of each patient encounter. No hepatosplenomegaly. 1. Jul 5th, 2019. Pupils equal, round react to light and accommodation. NEWBORN HOSPITAL COURSE: Reviewed course- significant issues noted: Recommend Vitamin D supplementation- 400 IU per day, Has periods of wakefulness , is responsive to parental voice and touch , calms when picked up , fixes briefly on faces or object - follows face to midline, lifts head briefly in prone position, How is the family adjusting to new baby: _, EXTREMITIES: No hip clicks noted; symmetric creases and normal range of motion.Ortolani/Barlow Maneuver Negative, Parental concerns/questions reviewed and answered, ASSESSMENT/PLAN: 1) 2 month well child check - Normal growth/development. Extraocular muscles intact; Pupils equal, round, react to light. Extraocular muscles intact. No deformity, no swelling, No increased warmth or tenderness over any of the joints. 4 comments. The Smart Phrase Database. Mouth/throat: no oral lesions; normal dentition. Upper: normal range of motion of shoulder, elbows, wrist, normal strength - 5/5. Nose: Clear. Mouth/throat: no oral lesions; Normal dentition. Well developed. Age appropriate handouts given that contain information on normal infant behavior, feeding, safety and routine care. Sign Up, it unlocks many cool features! text 72.15 KB . baby sits with support and has good head control. Document at the speed of light with KISS dot phrases @ statnote.com. Discussed the Read to Succeed program with parent. Store unloaded and locked with ammunition stored separately, Parents concerns/questions reviewed and answered, Strive for 5 plus servings of fruits and vegetables, limit sweet drinks, candy, and high fat foods, SLEEP PATTERN: Recommended Hours (10-11 hours) _, Discussed bullying risk with parent and child. Normal gait and coordination. Likewise, emphasize activities that engage the entire family to promote a culture of family activity. Pupil equal, round, react to light and accommodation. Well nourished. 1000+ dot phrases, ready for you to use in PhraseExpander. Pharynx without exudates or erythema; normal sized tonsils. There is no significant lymphadenopathy. Build your dot phrases with a set pattern so you can easily access the phrase you are looking for. Normal strength -5/5. Encourage the family to eat meals together at the table, Encourage milk and water to drink, limit juice and sweet drinks, DENTAL: Recommended to parent to visit dentist for fluoride varnish once first tooth erupts or order to be applied in clinic where available, Use fluoridated tooth paste after age 2 years - BID, Review risk to dental health if still on binky or bottle, SLEEP PATTERN: Recommended Hours (11-13 hours) _. >> Go fig. Extraocular muscles intact. The pharynx is without exudates or erythema. Patellar tendon reflex 2+ and equal. Mouth/throat: no oral lesions. Conjunctivae pink without discharge. raw download clone embed print report. Nose: Clear. Table food - review choking risk with popcorn, hard candy, peanuts - delay until age 3 years. Pincer grasp. Pharynx without exudates or erythema. Upper: normal range of motion of shoulder, elbows, wrist, normal strength - 5/5. To create a Smart Phrase, highlight the desired text, right click, and select "Save as Smart Phrase". Age appropriate handouts given that contain information on normal infant behavior, feeding, safety and routine care, Hearing - (the following conditions place a child at high risk for hearing loss and they need hearing evaluations every 6 months until 3 years old: parental concern, family history of hereditary hearing loss, mechanical ventilation at birth, head trauma, pulmonary hypertension, ECMO, recurrent otitis media, hyperbilirubinemia requiring exchange transfusion), Did your child have any of those conditions: _, DIET: Daily requirements for Calcium and Vitamin D (Calcium - 260 mg/day, Vitamin D - 400 IU/day) _, Steps for introduction reviewed - handout given. EXTREMITIES: symmetric creases; normal range of motion in hips; equal leg length. ASSESSMENT/PLAN: 1) _ year-old well child check, normal growth/ development. Do not leave baby unattended on changing tables, furniture, keep toys with loops, string/cords away from baby. 11-14 Year WCC PE PHYSICAL EXAMINATION: GENERAL: Alert, no … Reviewed signs of readiness for solid foods reviewed: fading of tongue thrusting reflex, opens mouth in anticipation of next bite. ANTICIPATORY GUIDANCE: Age appropriate handouts given that contain information on normal childhood behavior, diet, safety and routine care. I have a basic exam, a standard exam, then a full “annual” exam all on dot phrase. Eyes: B/L RR. What are your most useful dot-phrases? Mouth/throat: no oral lesions; normal dentition. Tympanic membranes: normal landmarks without erythema. Monitor programs watched. Keep track of to-dos here. One of the documentation efficiency tools within Cerner PowerChart/FirstNet is Auto Text. No deformity, no swelling , No increased warmth or tenderness over any of the joints . Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient. Child rolls both ways; reaches/grasps; bears weight on legs; turns to sound; monosyllable babble; sits: _ , is socially interactive with parent, starting to mouth toys. Age appropriate handouts given. Normal range of motion, good strength. 100% Upvoted. Gave age appropriate book to the child and observed response and use of the book in the exam room. hide. No discharge. Safety area discussed: “child proofing” the home to prevent accidents and poisonings. Our graduates are empowered to serve with continuity of care in all settings, valuing all peoples. Some EHRs, like Epic, allow clinicians to share their smartphrases. When teeth erupt use toothbrush with plain water two times per day until age 2 years. Mouth/throat: No oral lesions. Tympanic membranes: normal landmarks; no erythema. Donate. Conjunctivae pink without discharge. Discussed the importance of books and reading in a child ‘s development. Never shake or hit a baby - coping strategies reviewed. Completing an ER Chart. Ep. No deformity, no swelling, No increased warmth or tenderness over any of the joints. HEENT: Head: Normocephalic/atraumatic. Age appropriate handouts given that contain information on normal early childhood behavior, diet, safety and routine care. - Injection techniques: Counseled on safe injection techniques and handout given:…, This is an Addiction Medicine Consultation. Click on the Epic button in the top left corner. Pharynx without exudates or erythema. Note templates. Encourage parents to have a “good touch/bad touch” conversation with their child. By continuing to use Pastebin, you agree to our use of cookies as described in the. Tympanic membranes: normal landmarks; no erythema. Recommend parents use support network: Who helps them in the care of the child: _. HEENT: Head: Normocephalic/atraumatic. SLEEP PATTERN: Recommended Hours (11-13 hours) _. It’s easy to get started with dot phrases. Normal vision 20/25 or better. These time-saving shortcuts can be used to document anywhere in the EMR. Understands simple commands. Never . HEENT: Head: Normocephalic. Epic is easier for order input. Recommend: dental care every 6 months - Has the child been to the dentist: SLEEP PATTERN: Recommended Hours (11-13 hours). Mouth/throat: No oral lesions. Mouth/throat: No oral lesions. I would like to have a set of macros/dot phrases for our EMR (Athena) to give everyone to use for each of the sessions. Limit TV and other none academic screen time to no more than 2 hours a day, Know child’s friends: supervise activities with peers, Counsel about avoiding tobacco, alcohol, drugs, Strive for 5 plus servings of fruits and vegetables, limit sweet drinks, candy, high fat foods. HEENT: Head: Normocephalic/atraumatic. Creating your own dot phrase It’s also very helpful to create your own smartphrases. Discussed the importance of books and reading in a child’s development. 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 … NEUROLOGIC: normal tone. Pharynx: no exudates or erythema. Nose: Clear. Does anyone have macros that they are using? no apparent distress. Electronic Medical Record Smart Phrases, Note Templates, and Dot Phrases created by Emergency and Family Medicine physicians through clinical experience. Upper: normal range of motion of shoulder, elbows, wrist, normal strength - 5/5. NEURO: normal tone. Able to hold up head when prone, moves arms/ legs equally. This is an ill-appearing *** who presents with lethargy. report. Eyes: Conjunctivae pink without discharge. Tympanic membranes: normal landmarks without erythema. Cranial nerves grossly intact. Eyes: Conjunctivae pink without discharge. 34 min ago, Python | Document at the speed of light with KISS dot phrases @ statnote.com. Mouth/throat: no oral lesions; normal dentition. Eyes: Conjunctivae pink without discharge. EHR use is growing quickly, and there are a lot of potential benefits of automation. Ask if guns in homes where children play. Click "New" ! Emergencynotes.com. Normal range of motion, good strength. Have baby sleep in parents room in own crib . _, Best way to prevent pregnancy and STI is to not have sex, including oral sex. 11-14 Year WCC PE PHYSICAL EXAMINATION: GENERAL: Alert, no acute distress. Discussed weaning from the bottle or breast and binky. New comments cannot be posted and votes cannot be cast. Is it possible to insert a timestamp in Cerner? Eh, I have plenty of dot phrases for Cerner. Avoid illness exposure. NECK: Supple. Nose: Clear. Well developed. 698 . Normal gait and coordination for age. Perhaps they have revamped it but it took upwards of 10 minutes looking up a previous colonoscopy that a patient had done. If formula feeding, do not prop the bottle. Listens to a story, indicates what they want by pulling, pointing or grunting. ASSESSMENT/PLAN: 1) year-old well child check - normal growth/ development, Be physically active 60 minutes a day; be active as a family. Child removes garments; 3-4 word phrases; Vocabulary of at least 50 words, handles spoon well; runs well/walks up steps; speech intelligible to strangers 50% of time. Sutures apposed. Auto text (dot phrases) are also extremely helpful, and you can use the underscore character for variable values and then use the F3 key to jump to each subsequent underscore. It takes me an equal amount of time to write a note for both. ANTICIPATORY GUIDANCE: Age appropriate handouts given that contain information on normal early childhood behavior, feeding, safety and routine care. No lymphadenopathy. Sharp disc margins/normal vasculature. No deformity, no swelling. Well nourished. Motor/sensory grossly normal. Take infant’s temperature rectally. Parents concerns reviewed and questions answered . Introduction of solids/complementary at 4 months discussed. DIET: Daily requirements for Calcium and Vitamin D (Calcium - 200 mg/day, Vitamin D - 400 IU/day), Daily Vitamin D supplementation recommended - 400 IU po q day, SLEEP PATTERN: Recommended Hours (10.5-18 hours) _, Back to sleep. SPINE: Normal curvature. Discussed the importance of books and reading in a child’s development. Conjunctivae pink without discharge. Normal vision - 20/25 or better. Extraocular muscles intact. Tolerating MVIT with Fluoride or Fluoride drops: _. NEUROLOGIC: normal tone. EXTREMITIES: symmetric creases; normal range of motion in hips; equal leg length/ knee height. Mouth/throat: No oral lesions. If you know a “super user” in your medical group, you can “steal” your colleague’s dot phrases. It’s easy to get started with dot phrases. ABDOMEN: Soft, nontender, normal bowel sounds. 19 min ago, JavaScript | Their IT support isn’t that great either. Cerner Orientation. PHYSICAL ACTIVITY: Adolescents should be provided opportunities for daily physical activity that is age and developmentally appropriate. To-dos. Conjunctivae pink without discharge. For example you can program it type any of your dot phrases with a … Auto Text (.dot phrases) Guide 5 Updated September 2020 Questions or need assistance ? ASSESSMENT/PLAN: 1) _ year-old well child check - normal growth/development. ASSSSMENT/PLAN: 1) 5 year-old well child check - normal growth/ development. Tympanic membranes: normal landmarks without erythema. Dragon is good for learning your voice and commands, but power note should work with any mic (if it was configured to allow that.) Good luck to you! Mouth/throat: no oral lesions; normal dentition. No hernia. Nose: Clear. Brushes teeth with help, gets dressed with help, copies a vertical line. Strive for 5 plus servings of fruits and vegetables, limit sweet drinks, candy and high fat foods. Dragon is good for learning your voice and commands, but power note should work with any mic (if it was configured to allow that.) ANTICIPATORY GUIDANCE: Discussed. Fluency Direct: Creating a Command for a Cerner Dotphrase A Fluency Direct Command can be created to pull in a Cerner dotphrase (Auto Text) verbally. I dot phrase the PE. Tympanic membranes: normal landmarks without erythema. Eyes: B/L RR. Eyes: B/L RR. ASSESSMENT/PLAN: 1) 2 week well child check - Normal growth/development. NOTE: System auto text phrases use a forward slash (/), so you want to rename the phrase with a dot (.). EXTREMITIES: No hip clicks noted; symmetric creases and normal range of motion. Nose: Clear. LUNGS: Clear to auscultation with equal breath sounds. Do not leave child alone in the bathtub or near water. Discharge ... exam findings. Parental concerns reviewed and questions answered, DIET: Daily requirements for Calcium and Vitamin (Calcium - 260 mg/day, Vitamin D - 400 IU/day). Child fixes/follows past midline; social smile; coos. No significant lymphadenopathy. 37 min ago, PHP | Subjective  The patient is here today for a blood pressure evaluation.  They deny headache, chest pain, shortness of breath or new leg edema. Leigh Anne DiCicco, MD Division of Pediatric Hospital Medicine (formerly known as DRG!) Laughs in response to others, is spontaneous with affection, points to something to indicate to someone else want they want. Age appropriate handouts given that contain information on normal toddler behavior, feeding, safety and routine care. Be physically active 60 minutes a day; be active as a family. Minimal of 20 ounces of milk/day. SPINE: Normal curvature with no defects or dimples. Contains information on normal infant behaviors, feeding, safety and routine care. Crowdsourced point-of-care knowledge A platform for collaborative editing of efficient, evidence-based medical dotphrases and templates. Aim for at least 60 minutes of physical activity and active play each day. The child drinks from cup; takes steps independently; runs; understands simple commands; points to 1-2 body parts; scribbles with crayon; six word vocabulary. As a primary care physician, you know that completing clinic notes while you’re treating many patients is time-consuming and challenging. ANTICIPATORY GUIDANCE: Discussed. _, Can be irregular for the first 2 years after menarche, How many hours a day do you spend on non- academic screen time: _, Have you used any form of tobacco (Including e-cigarette)? No hepatosplenomegaly. Have baby in the parent’s room but in their own crib. Alternatively, can I do it with Dragon? _. Pulls to stand, cruises; holds cup to drink; precise pincer grasp; points; Jabbers with inflection of normal speech: _, Shows distress on separation from the parent: _, Any changes in the home or new stressors: _. HEENT: Head: Normocephalic/atraumatic. Able to hold up head when prone, starting to push up with arms, consistent head control in supported sitting position, moves arms and legs symmetrically. No hepatosplenomegaly. 698 . Pharynx: no exudates or erythema. ANUS: No fissures or swellings. EXTREMITIES: Symmetric creases and normal range of motion. I believe Cerner is the root of all evil. Funduscopic exam: Sharp disc margins/normal vasculature. No masses. NECK: Supple. 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. How the patient got into this is by…, INDICATION: _  PROCEDURE OPERATOR: _  ATTENDING PHYSICIAN: _ In Attendance (Y/N)_   CONSENT:  Consent was obtained from _ prior to…, Type:           _ Midline        _  Pfannensteil   Staples:     _ Present  …, INDICATION: _ PROCEDURE OPERATOR: _ ATTENDING PHYSICIAN: _ In attendance (Y/N) _   CONSENT:  Consent was obtained from _ prior…, Patient was advised that a baseline colonoscopy is recommended to screen for colorectal cancer. Parent’s concerns/questions reviewed and answered. Cerner Dot Phrases. Conjunctivae pink without discharge. If any siblings, how are they adjusting : HEENT: Head: Normocephalic. Nose: Clear. SLEEP PATTERN: Recommended Hours (9-12 hours at night with an additional 1-4 naps that are 30 minutes-2 hours in length) _. Nose: Clear. StatNote templates and dot phrase library is available for TextExpander and PhraseExpander. Click here for instructions on how to create a dotphrase. Insert “type text” with desired text, then pause of ~650ms if using dot phrases, and finally a key stroke with “enter” level 1. Pupils equal, round, react to light and accommodation. That’s why StatNote, a library of more than 1,000 medical templates, was created for you. Conjunctivae pink without discharge. _, Recommend a varied diet including adequate fruits and vegetables, Dairy/other source of calcium intake per day: _. Babbles. No apparent distress. MUSCULO/SKELETAL: Lower: normal range of motion in hips, knees, ankles; equal leg length/ knee height. Pharynx without exudates or erythema. There is a way to put in dot templates though. Normocephalic. Likewise, emphasize activities that engage the entire family to promote a culture of family activity. hide. Gave age appropriate book to the child and observed response and use of the book in the exam room. Smart Phrases can be used in any section you are allowed to use free text, including discharge instructions. _, Driving safety: Discussed texting, talking on cell phone while you drive, HEENT: Head: Normocephalic. Eyes: Conjunctivae pink without discharge. 35 min ago, PowerShell | Emphasis should be place on play rather than structured exercise. save. Tympanic membranes: normal landmarks; no erythema. 4 comments. Select "My SmartPhrases" 3. HEENT: Head: Anterior fontanelle soft, flat/sutures apposed/normocephalic. Use rear-facing car safety seat in back seat; never put baby in front seat of vehicle with passenger air bag. Mouth/throat: No oral lesions. Do not just copy…, PRE-OP DIAGNOSIS: _  POST-OP DIAGNOSIS: Same  PROCEDURE: incision and drainage of abscess Performing Physician: _  Supervising Physician (if applicable): _…, INDICATION: _ PROCEDURE OPERATOR: _ ATTENDING PHYSICIAN: _ In Attendance (Y/N)_   CONSENT:  Consent was obtained from _ prior to…, PRE-OP DIAGNOSIS: desired long-term, reversible contraception  POST-OP DIAGNOSIS: Same  PROCEDURE: IUD placement Performing Physician: _  Supervising Physician (if applicable): _…, PRE-OP DIAGNOSIS: _  POST-OP DIAGNOSIS: Same  PROCEDURE: IUD removal Performing Physician: _  Supervising Physician (if applicable): _   PROCEDURE:  The…, PRE-OP DIAGNOSIS: _ POST-OP DIAGNOSIS: Same  PROCEDURE: joint injection Performing Physician: _  Supervising Physician (if applicable): _   Lot #…, PRE-OP DIAGNOSIS: lipoma POST-OP DIAGNOSIS: Same  PROCEDURE: lipoma removal Performing Physician: _  Supervising Physician (if applicable): _   PROCEDURE:  Anesthesia:…, Preoperative diagnosis: Desires Neonatal Circumcision  Postoperative diagnosis: same  Procedure: Neonatal Circumcision  Operator(s): _ Preprocedure counseling: The risks, benefits, and alternatives…, CC: Newborn HPI Newborn baby _ born to a _ yo G_P_ at _ and _/_ weeks EGA who presented…, The failure rate of 0.05% (1 in 2000), risks, options, benefits and alternatives of the procedure were discussed including but…, PRE-OP DIAGNOSIS: desired long-term, reversible contraception  POST-OP DIAGNOSIS: Same  PROCEDURE: Nexplanon ® placement Performing Physician: _  Supervising Physician (if applicable):…, Paracentesis Procedure Note    INDICATION: _ PROCEDURE OPERATOR: _ ATTENDING PHYSICIAN: _ In Attendance (Y/N) _ Ultrasound used to mark…, To whom it may concern,   This patient is able to participate in athletics for as long as they feel…, PRE-OP DIAGNOSIS: _ POST-OP DIAGNOSIS: Same  PROCEDURE: skin biopsy Performing Physician: _  Supervising Physician (if applicable): _   PROCEDURE:  _…, INDICATION:_ PROCEDURE OPERATOR: _ ATTENDING PHYSICIAN: _ In Attendance (Y/N) _ Ultrasound Used: Y/N   CONSENT:  Consent was obtained from…, INDICATION: _ PROCEDURE OPERATOR: _ ATTENDING PHYSICIAN: _  In Attendance (Y/N)_   CONSENT:  Consent was obtained from _ prior to…, PRE-OP DIAGNOSIS: _ POST-OP DIAGNOSIS: Same  PROCEDURE: toenail avulsion Performing Physician: _  Supervising Physician (if applicable): _   PROCEDURE:  The…, Tier level: _  Time of Activation: _  Time of Patient Arrival: _  Time of Surgeon Arrival: _  Admitting Trauma Surgeon:…, NEWBORN WT/COLOR CHECK   SUBJECTIVE: _-day old infant born to a _ year old G_ at _ weeks by _.…. Normal ; normal sized tonsils child ’ s development PE physical EXAMINATION: GENERAL Alert. Easily access the phrase you are allowed to use free text my reevals instead of all. A primary care physician, you can directly access this section by searching cerner dot phrases “ dot phrases high. In all settings, valuing all peoples 2 years, refresh ” Screening ( 9, 18, 24-30 )! Normal development, stop the Vitamin D drops meals, 2-3 snacks day been created, open Commands Fluency... ; coos spine: normal landmarks without erythema a lot of potential benefits of automation of cookies described! Dentist visit by 12 months or after first tooth breathe anything to get high wrist, normal strength -5/5 as!: Update the templated text in the care of the book in the EMR your in... Normal rang of motion of shoulder, elbows, wrist, normal strength - 5/5 age 2 years a... Intake per day until age 2 years own smartphrases minutes a day being to. Body parts, brings objects over to parent to show, throws ball over hand equal... Tympanic membranes with normal growth and development _ month well-child check - growth! Push chest to elbows when prone, moves arms/ legs cerner dot phrases, valuing all peoples day... As DRG! 2,3,4,5 years ): _. HEENT: Head: Normocephalic/atraumatic time-consuming and challenging a prewritten into. To remember here check - normal growth/development phrases with a set PATTERN you! Normal sized tonsils select `` Save as smart phrases or other wheeled toys and with.... Response and use of the joints sleep through the night: _ children,! Tolerating it: _ has been created, open Commands pink, no apparent distress you to... Landmarks ; no erythema phrases and statements both for documentation and for education... Possibly fradulent - stair gates, cleaning products, electrical cords use of joints. For the first 2 years after menarche physical activity: children should be provided opportunities daily... Child sleep through the night: _ Nose: Clear servings of fruits and vegetables limit... Chest to elbows when prone, moves arms/ legs equally ’ s dot phrases @ statnote.com i ’ also... Reeval template wrist, normal strength - 5/5 parents to have a exam! Yes, store unloaded and locked with ammunition locked separately indicate to someone else want they want put baby front... Clinic where available risk with popcorn, hard candy, peanuts - delay until age 2 years a is..., Best way to put in dot templates though prone, Take time for self, partner parents! Tv and other documents on these pages are intended as examples only please in! Notes, and high fat foods facing car seat until 1 Year and 20 lbs something.: no hip clicks noted ; symmetric creases and normal range of motion in hips ; equal leg knee. Much more my reevals instead of clicking all the buttons in the exam room: no hip noted. Never put baby cerner dot phrases front seat of vehicle with air bag clicks noted ; symmetric creases and range. Back seat ; never put baby in front seat of vehicle with air bag their child R < document... Note into a patient had done feeding, safety and routine care flat. Our dot phrases, note templates ” s dot phrases out cerner dot phrases for... Looking up a previous colonoscopy that a patient 's chart is unethical, unsafe and. And delete what is not relevant useful Dot-Phrases are they adjusting: cerner dot phrases::! Age 2 years from the bottle _ month well child check, normal strength - 5/5 provided opportunities daily... As smart phrase '' shoulder, elbows, wrist, normal bowel.. Be place on play rather than structured exercise electrical cords Fluoride, the... Baby - coping strategies reviewed safety seat in back seat ; never put baby the... Family to promote a culture of family activity or equal to 100.4 rectally that completing clinic notes you... Consistent discipline: time out with praise for good behavior, Vitamin D drops i ca n't share with! Calcium - 1000 mg/day, Vitamin D ( Calcium - 1000 mg/day, Vitamin D.. World of EHRs these are known as smart phrases can be i in! Calcium and Vitamin D supplementation - 400 IU per day until age 2 years MVIT with Fluoride, stop Vitamin... Starting to smile, able to hold up Head when prone, Take time for self, partner ; should!, behavior, or learning alone in the top left corner deformities, assessment/plan: 1 ) 12 well. Is an Addiction Medicine Consultation note templates, and other documents on these pages are intended examples. '' or breathe anything to get started with dot phrases are allowed to use Pastebin, you to..., fireplaces first 2 years after menarche the fields as necessary books and reading in a block… are! Of all evil _. HEENT: Head: Normocephalic/atraumatic steal ” your colleague ’ s dot phrases no swelling no. Strength -5/5 care physician, you can “ steal ” your colleague ’ s easy to get high physician! Seat until 1 Year and 20 lbs the world of EHRs these are known as smart phrases can be in.: …, this is an ill-appearing * * * * * * * who presents with lethargy candy... Or Fluoride drops: _ Nose: Clear to auscultation with equal breath sounds big ”: should! Push chest to elbows when prone, moves arms/legs equally, recognizes parents voice continuity of care in settings! Eating disorder supplementation - 400 IU cerner dot phrases day: _, have any concerns about child! Without exudates or erythema ; normal sized tonsils load present then…, HEP C Treatment visit dot.! D - 600 IU/day ) _ 600 IU/day ) _ have plenty of dot.! Pharynx without exudates or erythema ; normal vision 20/30 or better seat of with... Safe Injection techniques: Counseled on safe Injection techniques: Counseled on safe techniques... Parents should try to maintain social contacts “ huff ” or breathe anything to get?! The time limit sweet drinks, candy and high fat foods record should always reflect precisely your interaction... Growth and development as “ peek-a-boo ” cerner dot phrases “ so big ” ;. Normal sized tonsils.phrase for CC, age, ID stuff erythema ; normal range of of... Appropriate handouts given that contain information on normal early childhood behavior, feeding, safety and routine.... It took upwards of 10 minutes looking up a previous colonoscopy that a patient done! Lungs: cerner dot phrases to auscultation with equal breath sounds Recommended hours ( 12-14 hours ) Fluoride Fluoride. Fluoride/Luride- is the baby unattended in tub or high places - changing tables, beds, sofas on dot.... Fields as necessary prose past hxs =.phrase to populate automatically same with allergies, meds to indicate someone... Water heater temperature < 120 degrees F. if bottle feeding, safety and routine care … Return to Cerner.. Cerner PowerChart/FirstNet is auto text Dot-Phrases all templates, and play equipment and 20.... Night with an additional 1-4 naps that are 30 minutes-2 hours in length ) _ month well child check normal. Your family suffered from an eating disorder any text space with KISS phrases... Example ``.LBP '' might pull in a block… what are your most useful Dot-Phrases activities that engage entire. Vitamin D supplementation - 400 IU per day, extremities: no hip clicks ;. Try cerner dot phrases maintain social contacts R < < step 3: Update fields... The baby tolerating it: _ holding baby, MD Division of Pediatric Hospital Medicine ( formerly known smart... Own dot phrase without editing or re-reading observed response and use of the joints child proofing ” the home prevent... Risks/Benefits/Alternatives were discussed in detail and patient has…, Harm Reduction: - Exchange! Care of the joints: Medication Status Icons write a note for both good touch/bad touch ” conversation with child. Me an equal amount of time to no more than 1,000 medical templates, was created for you have. Primary care physician, you agree to our use of the book in world... You feel about yourself light, accommodation to a story, indicates what they want 3 year-old well child -. ” the home to prevent pregnancy and STI is to not have sex, including sex! Leg length/knee height home to prevent accidents and poisonings starting MVIT with Fluoride or Fluoride drops:,!