Healthcare Treatment Chart printable pdf download

Healthcare Treatment Chart

Guidelines for Use of Med 4 Healthcare Treatment Chart

PURPOSE

The purpose of these guidelines is to provide directives for the use of the Med 4 Healthcare

Treatment Chart

II.

PROCEDURAL DIRECTIVES

A. Utilization

1. Healthcare treatment will be defined as medical care other than medication,

which is ordered by a Healthcare Professional

Examples include, but are not limited to:

a. Braces/supports/slings

b. Specific dental care

c. Exercises

d. Heat or ice pack

e. Eye patch/guard

f. Ear plugs

g. Monitoring of health such as fluid intake/output, urine output, bowel

movements, etc.

2. The Med 4 may be used for healthcare treatments, in the following situations:

a. Time-limited orders

Examples: sling for elbow injury for 2 weeks; heat pack to knee for 3 days;

stretching exercises after foot surgery for 3 months

b. Short-term timeframe (no more than 6 months), to allow time for a Med

29 Healthcare Staff Objective (HSO) to be added or revised

Examples: blood sugar check; daily weight checks for heart disease;

range of motion exercises due to CP and aging

c. Long-term orders (that may not fit appropriately into an HSO)

Examples: ear plugs when swimming; electric toothbrush; short walk three

times a week for weight management

3. The Med 4 may be kept in the Individualized Med Book or working file

B. Completion of Chart – see next page

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Med 4 Chart, Page 1 of 2

Healthcare Treatment Chart