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Prohealth Nursing Note
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Consent Form
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CC/ History of present Illness
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Social HX
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Past Medical HX
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H&P Plan
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IV treatment ordered:
• • •
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Recommendations:
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Lab Comments
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Home Health
• • •
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Home health comments
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Subjective:
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General [-]
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General [+]
• • •
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General Comments
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HEENT [-]
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HEENT [+]
• • •
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HEENT Comments
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Cardiovascular [-]
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Cardiovascular [+]
• • •
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CV Comments
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Respiratory [-]
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Respiratory [+]
• • •
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Resp Comments
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GI [-]
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GI [+]
• • •
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GI Comments
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Objective:
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Nursing Assessment:
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Nurse Plan:
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Dehydration IV Treatment
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Dehydration IV Treatment
• • •
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Energy Boost IV Treatment
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Energy Boost IV Treatment:
• • •
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Hangover IV Treatment
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Hangover IV Treatment
• • •
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Myers Cocktail IV Treatment
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Myers Cocktail IV Treatment
• • •
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Immune Boost IV Treatment
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Immune Boost IV Treatment
• • •
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Stomach Flu IV Treatment
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Stomach Flu IV Treatment
• • •
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Beauty IV Treatment
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Beauty IV Treatment
• • •
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Weight Loss IV Treatment
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Weight Loss IV Treatment
• • •
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Recovery IV Treatment
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Recovery IV Treatment
• • •
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All Inclusive IV Treatment
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All Inclusive IV Treatment
• • •
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NAD IV Treatment
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NAD IV Treatment
• • •
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NAD + Boost IV Treatment
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NAD + Boost IV Treatment
• • •
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Nursing Intervention
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IV Site/Injection Site:
• • •
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Angiocath Used to Start IV / Needle Used:
• • •
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Started IV infusion of:
• • •
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Time Started:
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Time Ended:
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Did patient tolerated the procedure well?
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Notes:
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Was pressure applied?
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Was dressing/Coban applied?
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Any bruising/bleeding at the injection site?
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Any issues during or after the infusion?
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Other nursing notes:
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