look at PT note, progress notes, consult notes, labs -- esp under orders look at dianostic imaging for any outstanding x-rays
speak w RN (ask if it's ok to see pt)
check set-up and get chuck, sheet, gown, socks (walker prn)
when an overwhelming infection leads to life-threatening low blood pressure
Any type of bacteria can cause septic shock. Fungi and (rarely) viruses may also cause the condition. Toxins released by the bacteria or fungi may cause tissue damage, and may lead to low blood pressure and poor organ function. Some researchers think that blood clots in small arteries cause the lack of blood flow and poor organ function.The body also produces a strong inflammatory response to the toxins. This inflammation may contribute to organ damage.
signs for "flex" and "extend"
flex -- a check mark
extend -- a slash /
how to show grades for balance
ex: Balance: F+/F
certified home health aid
mean corpuscular volume
a measure of the average red blood cell size
how many days/week of PT can you prescribe for medicine pts, CVAs, ortho pts
how to express "pending progress" and why
P in a circle, then the word progress
you'd write it in a plan -- "subacute rehab upon D/C (P) progress"
within functional limits - say this for ROM is it's not measured but you saw the pt moving enough
objective sect of IE note
how did pt tolerate it (usally "well")
quick bio: age, gender, admission date, reason for admission
problem list (decreased balance, endurance, strength, bed mobility, etc)
notes that didn't fit in elsewhere in the IE form (pt can follow 1 step commands...)
then the usual closer: how pt was left, RN aware, safety maintained, +CB, NAD
"Pt would benefit from further IP skilled PT to address the above limitations"
to be assessed (written in the goals sect of IE for topics that weren't assessed yet - so there's no baseline, so you can't make a goal before seeing how the pt can do it)
when to use ICP, TPM, PPM
ICP - tachycardia - it's a defibrillator and shocks the pt when the HR gets too high
TPM - in emergencies, and when the pt has a problem expected to resolve
PPM - for perm situations
benign prostatic hyperplasia (increase in number, not size, of cells)
benign nodules compressing the urethra ---> difficulty urinating