Playlist
Show Playlist
Hide Playlist
Cutaneous Abscess I&D: Documentation
-
Slides Cutaneous Abscess I and D Documentation.pdf
-
Download Lecture Overview
00:01 As a provider, don't forget you will need to document the procedure and depending on your specific facility, assign codes for billing purposes. 00:09 As an advanced practice provider, you're expected to document the following for any wounds or abscesses, especially those that you perform a procedure for. 00:19 The precise location using anatomical landmarks, size measurements in centimeters. 00:25 I want to point out to you that when you have your, um, large Q-tips, they have measurements on here, so you can actually put them up next to the wound so you can get good measurements to put in your charting. 00:38 You also want to document any depth, if visible, or if you're able to have any probing when you're looking for tunneling. 00:46 You also want to document the surrounding tissue characteristics, such as if there is any erythema or warmth. 00:54 You also want to document the characteristics of the drainage. 00:58 Is it clear, cloudy? Does it have an odor? Does it have any color to it? Do they have any pain? And is there any systemic symptoms present? This would be fever or any other type of symptoms they may have. 01:12 Response to the palpitation. 01:15 Is it fluctuant and does it have any flocculation? You also want to make sure you're coding correctly. 01:22 So making sure to use your ICD ten, your HCPCS and your CPT codes. 01:27 So remembering to use those anatomical locations, the associated infection, if there is any inflammation and injury at what sites, and whether additional procedures such as anesthesia, wound care or any additional medical providers were involved in the care. 01:46 It's essential that you stay current on which codes are approved and in use. 01:52 Incision and drainage of cutaneous abscesses are common in for advanced practice providers such as nurse practitioners or physician's assistants, especially in the community setting. 02:03 And thank you for watching.
About the Lecture
The lecture Cutaneous Abscess I&D: Documentation by Glenna Lashley, FNP, MSN is from the course Pressure Relief Procedures in Primary Care.
Included Quiz Questions
What essential component must be documented regarding the anatomical location of a wound or abscess?
- Precise location using anatomical landmarks
- General body region only
- Approximate distance from major joints
- Left or right side indication
- Relative position to other wounds
When measuring wounds for documentation, which tool provides built-in measurement markings?
- Standard rulers
- Large Q-tips
- Disposable tape measures
- Surgical calipers
- Medical grade stickers
Which characteristics of wound drainage must be documented according to the video?
- Color and amount only
- Consistency and odor only
- Viscosity and timing only
- Clarity, cloudiness, odor and color
- Temperature and pH level
What types of medical codes are required for proper documentation of wound procedures?
- Only CPT codes for procedures
- ICD-10 codes and HCPCS codes
- CPT and ICD-10 codes only
- ICD-10, HCPCS, and CPT codes
- HCPCS and CPT codes only
What systemic symptoms should be documented when assessing a wound or abscess?
- Only elevated heart rate
- Only changes in blood pressure
- Fever and other systemic responses
- Only localized inflammation
- Only changes in respiratory rate
Author of lecture Cutaneous Abscess I&D: Documentation
Glenna Lashley, FNP, MSN
Customer reviews
5,0 of 5 stars
| 5 Stars |
|
5 |
| 4 Stars |
|
0 |
| 3 Stars |
|
0 |
| 2 Stars |
|
0 |
| 1 Star |
|
0 |
