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Overview
Complete
Rose Ellen Ash / Emerald C-134 / 19 Oct 2018 / Gem Cassidy
Nurse Report Sheet
Inspection score
60.00%
Failed items
0
Created actions
0
Patient Name
Rose Ellen Ash
Patient Room
Emerald C-134
Conducted on

19th Oct, 2018

4:09 PM +08

Prepared by
Gem Cassidy
Audit
60.00%
General Information
Date of Birth

3rd Oct, 2018

Sex
Female
Patient Report
Diagnosis
Upper Respiratory Tract Infection and Acute Exacerbation
Does the patient has allergies?
Yes
Please enter details
1. Dust 2. Smoke
Patient medical history
1. Bronchial asthma
Code status
Limited
Patient Monitoring - Vital Signs
100.00%
Patient Monitoring - Vital Signs / Click + to add patient monitoring details
100.00%
Patient Monitoring - Vital Signs / Click + to add patient monitoring details / Patient Check 1
100.00%
Time Check

7:00 AM +08

Blood Pressure
120/100
Heart Rate
80 bpm
Temperature
37.2˚C
Should be between 36.1˚C to 37.2˚C
Oxygen Saturation
85
Oxygen
85
Respiratory Rate
150 bpm
Pain
Pain in the chest
Blood Sugars
Normal
Are there dispensed medications?
Yes
Time of Med Pass

7:30 AM +08

Intake
Breakfast
Toast and milk
Lunch
Chicken stew, spring rolls and brown rice, water
Supper
Turkey sandwich and orange juice
Other
Yogurt
Output
50.00%
Foley
BM
Emesis
N/A
Drains
N/A
Tubes
Ostomy Bag
Labs and Needed Procedures
Labs
X-ray, CBC
Needed Labs
Repeat X-ray
Future Procedures
Follow up check up
Completion
Completion / Click + to add Nurse On Duty
Completion / Click + to add Nurse On Duty / Nurse 1
Full Name and Signature of Nurse Attendee
Gem Cassidy
19th Oct, 2018 4:26 PM +08