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/ ONE (intra-articular hyaluronate injection) PRIOR AUTHORIZATION FORM Please complete and fax all requested information below including any progress ...

How to fill out synviscsynvisc one intra-articular hyaluronan

How to fill out Synvisc One intra-articular hyaluronan:

1. Before starting the procedure, ensure that you thoroughly wash your hands and wear sterile gloves to maintain aseptic conditions.
2. Prepare the patient by positioning them comfortably and cleaning the injection site with an antiseptic solution.
3. Remove the cap from the pre-filled syringe of Synvisc One. Ensure that the solution is clear and free from any particles or discoloration. Do not use the syringe if it appears damaged or compromised.
4. Attach a sterile, unused 18-22 gauge needle to the syringe. Remove any air bubbles from the syringe by gently tapping the barrel and pushing the plunger until a small drop of the Synvisc One solution appears at the needle tip.
5. Locate the intra-articular space for injection. This is typically done by palpating the knee joint and identifying the lateral or medial aspect of the patella. The injection site should be approximately 1 cm above or below the patella.
6. Insert the needle into the joint space at a 30-45 degree angle. Slowly advance the needle until you reach the intra-articular space. Aspiration of synovial fluid is not required before injecting Synvisc One.
7. After confirming correct needle placement, slowly depress the plunger to inject the entire contents of the syringe. Make sure to inject the solution slowly and evenly to prevent any discomfort to the patient.
8. Once the injection is complete, withdraw the needle gently and apply pressure to the injection site with a sterile gauze pad or cotton ball to prevent bleeding.
9. Dispose of the used needle and syringe in a sharps container according to your facility's guidelines.
10. Provide aftercare instructions to the patient, including any activity restrictions or recommendations for pain management.

Who needs Synvisc One intra-articular hyaluronan?

1. Synvisc One intra-articular hyaluronan is commonly used in the treatment of knee osteoarthritis.
2. It is suitable for individuals who have not responded well to conservative treatments such as physical therapy, pain medications, or corticosteroid injections.
3. Patients who experience persistent knee pain, stiffness, and reduced mobility due to knee osteoarthritis may benefit from Synvisc One. It can help provide symptomatic relief, improve joint function, and potentially delay the need for surgical intervention.
4. It is important to consult with a healthcare professional to determine if Synvisc One is the appropriate treatment option based on the individual's medical history, severity of osteoarthritis, and overall health.

For pdfFiller’s FAQs

What is synviscsynvisc one intra-articular hyaluronan?

Synvisc-One is a type of hyaluronan injected into the joint to treat osteoarthritis.

Who is required to file synviscsynvisc one intra-articular hyaluronan?

A healthcare professional is required to administer the injection of Synvisc-One.

How to fill out synviscsynvisc one intra-articular hyaluronan?

Synvisc-One is administered through an injection into the joint by a healthcare professional.

What is the purpose of synviscsynvisc one intra-articular hyaluronan?

The purpose of Synvisc-One is to provide relief for pain and discomfort caused by osteoarthritis in the joint.

What information must be reported on synviscsynvisc one intra-articular hyaluronan?

The administration details, patient information, and any adverse reactions must be reported on the Synvisc-One injection.

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