Urology Patient Telephone Encounter Note
Created by
Brian Collins
Specialty
Urologist
Last edited
10/20/2026
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0 times
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About this template
This template is for concise documentation of telephone interactions involving a urology patient or the patient’s representative. It records the caller’s identity and relationship, the call purpose, the discussion, actions, follow-up, and any other explicitly stated details.
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Telephone Note
- 24/10/2023 at 14:15 EST
- Robert Vance (MRN: 849-201-74, DOB: 12/04/1958)
- Self (Patient)
- Post-op symptoms following R ureteroscopy, laser lithotripsy, and JJ stent placement on 22/10/2023.
- Pt reports mild, intermittent R flank pain (3/10) during voiding, urinary urgency, and pink-tinged urine without frank clots. Denies fever, chills, N/V, or urinary retention. Reassured pt that mild haematuria, urgency, and flank discomfort with voiding (stent reflux) are expected post-stent placement. Advised to maintain PO fluids > 2.5 L/day. Reviewed current regimen: tamsulosin (Flomax®) 0.4 mg PO daily, oxybutynin (Ditropan®) 5 mg PO TID PRN spasms, and paracetamol (acetaminophen, Tylenol®) 1,000 mg PO Q6H PRN pain.
- Sent Rx for phenazopyridine (Pyridium®) 200 mg PO TID PRN dysuria (dispense #9) to patient's local CVS pharmacy.
- Keep scheduled clinic appt on 31/10/2023 at 10:30 EST for cystoscopic stent removal.
- Pt verbalised understanding of red-flag symptoms (T > 38.0 °C, intractable pain, inability to void, or heavy haematuria with clots) and agreed to present to the ED if these occur.
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