Please select Click for more info on selecting services. all the Items, Observations, and Services provided. These are just examples. Your staff will define its own list.
This is a long form. Use these headings to jump to desired parts and use top to return here. After making your selections, click the 'go' button in the right-hand frame.
Contact place/reason Mobility Personal/Room Care Time Accounting
Food Supplies Activities Admin tasks

(Literal Comment)
Contact place/reason
Signaled N. Check Assist N. Rounds
P. Room Other P Rm Hall Patio
N. Station Dining rm Salon top
Mobility
Wheelchair Hoyer Lifter Walker Cane
Nurse assisted Two-nurse assist Group-lift top
Personal Care
Washed hands/face Bathed patient Bed-bath Attended as patient bathed self.
Bedpan Commode Chair-commode Attended as patient commoded self.
Perineal care Oral care Pedicure Cleaned Room
Made bed Made occupied bed Spot-clean top
Food
Breakfast Dinner Supper
Nutrition Snack Drink
Oz Liquid Oz Food top
Supplies
Hand/body soap Hand/body lotion Shampoo Toothpaste/brush
Shaver Cotton balls Chapstick Denture adhesive
Deodorant Foot powder Body powder Mouthwash
Attends Briefs Catheter Pad
Kleenex Band-Aids Gauze top
Activities
Ambulate Physical rehab Social event Off-campus event
Visitor(s) top
Admin
Admit Discharge Care plan Assist with paperwork
Supervisor ck Admin ck Deliveries top
Time Accounting
Nursing min. Training min. TLC min. top