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Last set of labs:
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Lab Comments
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For Female only
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Could you be pregnant?
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Allergy to:
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Presence of Edema
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To Be Filled Out By Nurse/Provider
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Lung Sounds:
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Heart Sounds/Rhythm:
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BP:
/
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Pulse:
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Resp:
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Temp:
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02 Sat:
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Vitals 2:
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BP:
/
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Pulse:
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Resp:
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Temp:
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02 Sat:
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Name of Nutrients infused/Lot#/Exp date:
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IV Access:
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location
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IV Start time:
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IV stop time:
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Completed the following
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IV Push initiated:
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Nutrient/mg pushed/duration/lot#/exp date:
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select from the options
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Progress Note:
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Diagnosis
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IV discontinued prior to discharge; dressing applied; advised to remove dressing in 20-30 minutes; discharge instructions given.
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