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July 2002 VOL. 12 #46 Endoscopic Mucosal Resection (EMR) Maria Sirocco, RN, & Linda Pinches RN. Endoscopic mucosal resection, (EMR), is a minimally invasive endoscopic technique which is becoming
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How to fill out endoscopic mucosal resection emr

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How to fill out endoscopic mucosal resection (EMR):

01
Gather patient information: Begin by collecting the necessary patient details, such as their name, age, contact information, and medical history. This includes any past surgeries, medications being taken, and any known allergies.
02
Document current symptoms and findings: Record the reason for the endoscopic mucosal resection (EMR) procedure. This may include symptoms such as gastrointestinal bleeding, abnormal growths, or other indications for the treatment. Also, document the results of any diagnostic tests or procedures that led to the decision to perform an EMR.
03
Specify the procedure details: Provide a step-by-step description of the endoscopic mucosal resection procedure. Include information such as the instrument used, the location of the targeted tissue or lesion, and any specific instructions or precautions. This section should be detailed and clear, allowing future healthcare providers to understand the procedure thoroughly.
04
Note any complications or risks: It is important to document potential complications or risks associated with the EMR procedure. This could include bleeding, infection, or injury to surrounding tissues. Identify any pre-existing conditions that may increase the risk of complications and discuss any preventive measures taken.
05
Obtain consent: Include a section where the patient or their legal representative can provide informed consent for the endoscopic mucosal resection procedure. This requires explaining the benefits, risks, alternatives, and potential outcomes of the treatment. Document the patient's signature or confirmation of consent.
06
Provide post-procedure instructions: Outline the necessary instructions for post-procedure care. This may include dietary restrictions, medication instructions, and any follow-up appointments required. It is crucial to emphasize the importance of monitoring for potential complications and to provide emergency contact information if needed.

Who needs endoscopic mucosal resection (EMR):

01
Patients with abnormal growths: EMR may be recommended for individuals who have abnormal growths or lesions in their gastrointestinal tract. These growths could be precancerous or cancerous, and removing them via EMR can help prevent further progression or spread of the disease.
02
Individuals with gastrointestinal bleeding: EMR can be used to treat gastrointestinal bleeding caused by various factors, including ulcers, tumors, or polyps. Determining the underlying cause of the bleeding is crucial, and EMR can both diagnose and treat the source of the bleeding.
03
Patients with Barrett's esophagus: Barrett's esophagus is a condition characterized by the abnormal changes in the cells lining the esophagus, usually caused by long-term acid reflux. EMR can be used to remove abnormal cells or lesions in people with Barrett's esophagus to prevent the development of esophageal cancer.
Note: It is essential to consult with a healthcare professional to determine the suitability of endoscopic mucosal resection for each individual case. The information provided here is for general informational purposes only.
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Endoscopic mucosal resection (EMR) is a procedure used to remove abnormal tissue from the lining of certain bodily organs, such as the esophagus, stomach, or colon, using an endoscope.
Healthcare providers who perform EMR procedures are required to file the necessary documentation for each patient.
The EMR form should include details of the procedure, the reason for the procedure, any complications, and the results.
The purpose of EMR is to remove abnormal tissue for further examination and treatment, such as for the detection and removal of early-stage cancer.
The EMR report should include patient details, procedure details, findings, pathology results, and follow-up recommendations.
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