This is EPIC
The intern asks how to get into the clinic context. You tell them..
MHPX FCC OB/GYN
Treatment for trichomonas
Flagyl 500mg BID x7 days
PreEclampsia without severe features
37w0d OR at time of diagnosis if >37 weeks
Dr. Maloy's classic skin closure for CS (suture and needle)
4-0 monocryl on a Keith needle
All pregnant women should have these initial prenatal labs
Prenatal profile (CBC, T&S, Tpal, Rubella, Hep B), HIV, Hep C, urine culture, UDS
You are training the intern in clinic and they ask what modifiers to use for a prenatal appointment.
GC and TH
Treatment for gonorrhea
Rocephin 500mg IM x1
Prior classical CS
36w0d-37w0d
Dr. Parker's peritoneal closure
None! :]
A pregnant lady with gonorrhea needs tested later
4 weeks GC/C
12 weeks TOR GC/C
You are helping the intern write a circumcision procedure note. When they choose procedure as the note type, you tell them "Don't forget to _____, since this is a procedure."
Click the co-sign box
Treatment(s) for chlamydia
Pregnant: Azithromycin 1g PO x1
Nonpregnant: Doxycycline 100mg BID x7d
Oligohydramnios
36w0d-37w6d
Dr. Morelli's uterine closure suture
0 Vicryl x2
A pregnant woman with severe range BP, HA and possibly HELLP/DIC needs this gamut of labs
CBC, CMP, P/C, PT, PTT, fibrinogen, haptoglobin, uric acid, LDH
The intern wants to give morphine and compazine to a labor patient. Instead of putting in 2 separate orders, you show them this trick.
Linked orders
Treatment for syphilis
Benzathine Penicillin G 2.4 million units IM weekly x3 weeks
FGR with absent end diastolic flow on UADs
33w0d-34w0d
Dr. Linares' uterine closure suture
0 Chromic
A woman who wants to conceive, but has a history of a 22 week IUFD
Anticardiolipin Ab, Lupus anticoagulant, Anti-B2 glycoprotein 1
Your intern opens a chart for a patient in MFM who is coming up for delivery from the MFM schedule. One second later you get a call from Perni telling you the intern is in his chart and needs to get out. You tell the intern instead of clicking into the chart, they can click this button instead to stay out of the encounter.
Chart review (blue chart/folder at the top of the schedule tab)
A woman with HIV >1,000 copies presented to L&D for scheduled CS. Prior to delivery, she needs this antiviral.
Zidovudine
Mono-di twins with isolated FGR
32w0d-34w6d
Dr. Parker's uterine closure suture should come on this needle
CTX
A pregnant woman with sickle cell trait
Urine culture qTrimester