|
Labs
• • •
|
Lab Comments
|
|
Medication injection
• • •
|
Injection site
|
|
Medication injection
• • •
|
Injection site
|
|
Medication injection
• • •
|
Injection site
|
|
IV infusion
• • •
|
Additional IV medications
• • •
|
|
Total infusion time
|
Capping solution
• • •
|
|
Start/stop of infusion time
|
|
|
Radiology
• • •
|
Radiology Comments
|
|
PT Recommendations
|
PT Recommendation Comments
|
|
Home Health
• • •
|
Home health comments
|
|
Referrals
|
Referral Comments
|
|
Education
|
Smoking cessation counseling completed
• • •
|
|
Diet
|
Diet Comments
|
|
General Instructions
• • •
|
Drug and alcohol use instruction
|
|
Follow up
|
DC instructions
• • •
|
