Please select
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
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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
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Mobility
Wheelchair
Hoyer Lifter
Walker
Cane
Nurse assisted
Two-nurse assist
Group-lift
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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
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Room
Made bed
Made occupied bed
Spot-clean
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Food
Breakfast
Dinner
Supper
Nutrition
Snack
Drink
Oz Liquid
Oz Food
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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
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Activities
Ambulate
Physical rehab
Social event
Off-campus event
Visitor(s)
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Admin
Admit
Discharge
Care plan
Assist with paperwork
Supervisor ck
Admin ck
Deliveries
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Time Accounting
Nursing min.
Training min.
TLC min.
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