Applies to: Retinal Assistants, Clinic Supervisors, Retina Doctors, HR
In many cases, a previous surgery may only be noted as a "vitrectomy."
Please be aware that in most cases, while a vitrectomy is done as part of the surgery, the vitrectomy does not adequately explain what was done in total. Thus just listing a Vitrectomy RT 2/6/10 is an insufficient entry, when for example, the patient may have had "Scleral Buckle with Vitrectomy" on this day.
Please be sure to note in detail what procedures were performed. For example:
Complex RD Repair + Membrane Peel + Cryo RT Eye
RD Repair +C3F8 gas LT Eye
RD Repair + Cryo RT Eye
Scleral Buckle + Vitrectomy LT Eye
Vitrectomy + Endolaser RT Eye
Vitrectomy + Removal of ERM
Vitrectomy +Removal of ILM + Silicone Oil Injection
In the same regard as to the surgeries listed above, when noting history of IV (Intra Vitreal) Injections, please be sure to exercise care in noting which medication was used. Write out the name (Avastin, Eylea, Lucentis, etc.) vs. "IV-A, IV-E, or IV-L."
The examples above illustrate the level of detail that our surgeons desire and would appreciate. Should you come across a chart where you are unclear as to how to list the past procedure, please ask the CEO.
In many cases, a previous surgery may only be noted as a "vitrectomy."
Please be aware that in most cases, while a vitrectomy is done as part of the surgery, the vitrectomy does not adequately explain what was done in total. Thus just listing a Vitrectomy RT 2/6/10 is an insufficient entry, when for example, the patient may have had "Scleral Buckle with Vitrectomy" on this day.
Please be sure to note in detail what procedures were performed. For example:
Complex RD Repair + Membrane Peel + Cryo RT Eye
RD Repair +C3F8 gas LT Eye
RD Repair + Cryo RT Eye
Scleral Buckle + Vitrectomy LT Eye
Vitrectomy + Endolaser RT Eye
Vitrectomy + Removal of ERM
Vitrectomy +Removal of ILM + Silicone Oil Injection
In the same regard as to the surgeries listed above, when noting history of IV (Intra Vitreal) Injections, please be sure to exercise care in noting which medication was used. Write out the name (Avastin, Eylea, Lucentis, etc.) vs. "IV-A, IV-E, or IV-L."
The examples above illustrate the level of detail that our surgeons desire and would appreciate. Should you come across a chart where you are unclear as to how to list the past procedure, please ask the CEO.
| policy_protocol_back_filling_and_previous_retinal_procedures_08082013.docx |