PT/INR NA/K+ Dressing change: H/H Orders to flush central/hep loc line/PICC Mg/Phos NEURO: AAO x Speech: C S A Cardio: Tele: Edema O2 RA NC Humidification PUPILS: R___ mm E R B Orders to travel w/o Lung Sounds Cough L ___mm E R B Pulses: Radial Pedal Facial Droop: Coumadin/Fragmin/Heparin Continuous Pulse OX I/S/Acapella Tongue: Midline Drift SWALLOW TEST SCDs Hold BP Meds- RT: HHN TRACH GI Diet: NPO GU URINE Intake- Skin/Wound PPD NPO w/Meds FOLEY Output- Bladder Scan Fluid Restrictions U/A C/S Last BM: / PEG 24/HR Strict I/O s
Stool check DIALYSIS ORDERS/Consent
Checklist & MAR + B&T Dressing WOCN consult VAC/JP M/S RU RL LU LL BKA ACITVITY Consults: PT Brace Cane Walker Wheelchair
V/S 0800 1200 1600 HX
T
HR
RR B/P O2 FSBS PAIN
INSULIN Sliding Prandial
Off unit MEDS
Admission D/C Legarcy Chart IV Med Hx Vac Allergy MD orders
Test Procedures
PPassport- Consent- MRI SCREEN SHEET
Pre-OP Proc McK Chart, Consent, Transfer Meds, MAR, V/S, On Call AB, H & P
BloodOrders for Type&Cross/ #unitsTransfus, Consent, Order for Pre-Med, Pearls, Chart input, F/U H&H