Patient Care Instruction

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Orders:      
 
 
 
 
 
Med  
 
 
 
 
 
Dosage  
 
 
 
 
 
Route  
Frequency    
 
 
 
 
 
 
 
 
 
Duration  
 
 
 
 
 
MD   I D#  
 
 Daily  
 New   a dmit  
 Sign   n arc   b ook  
 Report  
 24   c heck   i n   c hart  
 From   w hom  
 check   R N   o rders  
 Time  
 verify   d rips  
 Time   p t   r eceived  
 report   n otification  
 Wrist  
 VTE   p rotocol   b efore   0 000  
 Isolation  
 Acuity  
 Fall-­‐   y ellow  
 Pain  
 Allergies-­‐   r ed  
 Q4   i f   y es  
 Forms  
 Q8   i f   n o  
 VTE  
 Progress   N otes  
 Nicotine  
 A&0  
 Immunization  
 VS  
 Pain  
 Pain  
 Code   b lue  
 Mobility  
 Orders  
 OOB  
 Diet  
 Assist  
 IV   f luids  
 Plans  
 Meds    
 Tx  
• General  
 Skin   ( turns)  
• Pain  
 CP   r eport  
• N/V  
 Diet    
 Labs  
 NPO,   r eg,   e tc.  
 VTE  
 Precautions  
 PTA   m eds   p rinted  
 Contact  
 Care   p lan  
 Airborne  
 Education   a ssessment  
 falls  
 D/C  
 Mobility  
 Complete    
 w/assist,   e tc.  
 care   p lan  
 positioning  
 Education  
 A&0  
 attachments  
 Labs  
 review   A VS  
 Stool,   u rine  
 MD   m eds  
 Bed   a larm  
 Blood:  
 VS   q ____  
 Chart  
 Drains/foleys  
 Order  
 Skin  
 Attestation  
 VTE-­‐   s cd’s      
 Cross   &   m atch  
 Reason  
 Unit   b ag  
 Check   p t   i nfo   w /bag  
 Bedside  
 Pt   I D  
 DOB  
 MRN
 

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