This document contains a patient's admission information including their name, age, admitting date, medical doctor, diagnosis, past medical history, isolation status, allergies, vital signs, lab results, neuro checks, pulmonary assessments, gastrointestinal information, intake and output, wound care needs, activity level, consults, and multidisciplinary team members. Key details include the patient's diagnosis, isolation precautions, neurologic and pulmonary exam findings, fluid restrictions, wound dressing needs, and activity level. The document functions as an admission note capturing the patient's baseline status and care plan.
This document contains a patient's admission information including their name, age, admitting date, medical doctor, diagnosis, past medical history, isolation status, allergies, vital signs, lab results, neuro checks, pulmonary assessments, gastrointestinal information, intake and output, wound care needs, activity level, consults, and multidisciplinary team members. Key details include the patient's diagnosis, isolation precautions, neurologic and pulmonary exam findings, fluid restrictions, wound dressing needs, and activity level. The document functions as an admission note capturing the patient's baseline status and care plan.
This document contains a patient's admission information including their name, age, admitting date, medical doctor, diagnosis, past medical history, isolation status, allergies, vital signs, lab results, neuro checks, pulmonary assessments, gastrointestinal information, intake and output, wound care needs, activity level, consults, and multidisciplinary team members. Key details include the patient's diagnosis, isolation precautions, neurologic and pulmonary exam findings, fluid restrictions, wound dressing needs, and activity level. The document functions as an admission note capturing the patient's baseline status and care plan.
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
Effect of Constraint Induced Movement Therapy Versus Motor Relearning Programme To Enhance Upper Limb Motor Function in Stroke Patients: A Quasi Experimental Study
International Journal of Innovative Science and Research Technology