Using Sensei Cloud Oral Surgery

Recording General Information

When you add or edit an Anesthesia Record, the General Information tab is displayed first.

To record general information:

1. Under BMI Information, enter the patient's height (in/cm) and weight (lbs/kg). The BMI is calculated automatically.

2. Under Additional Information, select Consent Signed if you have the signed form.

3. For Escort, select the Escort type (relationship) and enter the name of the person responsible for the patient after the surgery.

4. For NPO, enter the number of hours since the patient has had food or water.

5. In the Record Overview section, view the scheduled procedures.

Note:  You can select a code from the list and enter additional details in the Procedure Description field, if necessary.

6. In the Surgery Details section, enter or view the patient's ASA class, surgeon, anesthesiologist/CRNA, RN, and assistants, if they are in the system.

7. Click Update Record.

 

Related Topics

 

Using the EMR Clinical Interface

Designating Medical Alerts

Documenting Chief Concerns

Managing Appointments

Using Clinical Notes Templates

Adding Drugs and Gases

Entering Vital Signs

Creating Anesthesia Records

Recording Surgery Vitals

Recording the Post-Op Evaluation

Understanding Sensei Cloud Medical Billing

Skill Sharpeners