Eyes Vision

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Trace DC86-12

DiraChart Clinical Reference
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1. Purpose and clinical relevance

DiraChart Clinical Reference

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Smart phrases

EMR dot-phrases; replace merge fields in braces. These supplement — never duplicate — the clinical-reference and overlay smart phrases.

.EYE_POSTOP

Post-{procedure} day {#}: operative eye {white/quiet/redness/discharge/pain}, vision {status vs prior}. Drop regimen {agents/schedule} administered per order, technique {correct}; shield {in place}; positioning {order/tolerance}. Covered skilled eye care; observation for complication. Supports Section B; eye goal {###}.

.EYE_CHANGE

Acute vision change: {sudden loss/field cut} in {which eye}. Associated {eye pain/halos/nausea/focal deficit} screened. Provider/ophthalmology notified urgently; {pathway} activated; representative notified. Reassess {when}. Time-critical. Supports Section B/I.

.EYE_PROTECT

Corneal protection (dependent/neuro resident): blink/closure {status}; lubrication per order; taping/closure {if}. Safe mobility with impaired vision assisted. Skilled eye protection required. Supports Section B.

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