OB soap

Soap note. Pls use the previous template! Until Wednesday.

Initial: C, S F/39 DOB: Apr/1/1983 Ht:65 Wt:183.2 pounds BMI:30.48

G5P5 S/P Vaginal delivery, Breast feeding now.

Primary DX: Nexplanon insertion Z30.017

Secondary DX: Contraceptive education Z30.09

Mother currently breast feeding Z39.1

Plan:

Procedure: Nexplanon

1. Consent signed with education.

2. The left upper arm was marked in the bicipital groove with the patient

making a fist.

3. Injected 1% Lidocaine

All lab normal