Everyday Oral Surgery Drs. Weiskopf and Stucki: Tips On Using Electronic Medical Records and Writing Patient Notes
Writing patient notes is a simple (albeit boring) task that can have major implications if not done correctly. There are certain things that should always be included in patient notes, and others that should never be, and in today’s episode Scott, Jake, and I share some examples of what’s on each of those lists. Scott also gives us a rundown of the electronic medical records system that he uses, and with pharmacies heading towards a total ban on paper prescriptions, everyone will benefit from hearing his advice. Although writing notes is certainly not the most exciting part of being an oral surgeon, we recommend putting an episode of Seinfeld on in the background to make it a whole lot more manageable!
Key Points From This Episode:
- A description of DSN, the electronic medical record system that Scott uses.
- How Scott and his assistant collaborate to be most efficient in capturing a patient's information.
- The phrase that Scott never allows in his notes.
- How DSN manages the sending of prescriptions.
- A downside of DSN, which is in the process of being addressed.
- Why it’s important to make it clear in your notes if your patient has refused non-surgical treatment to restore a tooth.
- Other examples of what you should be putting into your notes.
- Issues that can arise if you haven’t written down reasons for undertaking a procedure.
- How pharmacies are driving the switch from paper prescriptions to electronic records.
- The TV show that helps me get through the note-writing part of my day.
Links Mentioned in Today’s Episode:
DSN Software Inc. — https://www.dsn.com/
Todoist — https://todoist.com/
Dr. Grant Stucki Email — grantstucki@gmail.com
Dr. Grant Stucki Phone — 720-441-6059