ext. SCU. Today s Date: (Fecha): Telephone #: (# de Telefono): Room#: (# de Cuarto): Nurse Assistant: (Ayudante de la Enfermera):

Transcription

1 A1116r5.ai 2/16/2007 2:32:50 PM Today s Date: (Fecha): Room#: (# de Cuarto): SCU Nurse: (Enfermera): Telephone #: (# de Telefono): ext. Nurse Assistant: (Ayudante de la Enfermera): Physician: (Al Médico): Supervisor (Supervisor): ext. Team Conference: (Conderencia de Equipo): Case Manager: (Trabajador Social): Day: Time: ext. Pain Management is OUR Goal! El Control Del Dolor Es Nuestra Meta! goal To the Doctor and Nurse: If This Box is Checked, This Patient is a Limited English Proficiency Patient Who Speaks Only Please print the name of the language * Clean only with soap & water, Expo cleaner, Windex or Isopropyl alcohol. Do not use other cleaners or disinfectants! *

2 Today s Date: (Fecha): Room#: (# de Cuarto): Telephone #: # de Telefono): Nurse: (Enfermera): Nurse Assistant: (ayudante de la Enfermera): Physician: (Al Medico): RT: PMV: PT/OT: SLP: Feeding assistance Method of getting OOB/Transfer When patient can go back to bed ADL assistance Pain Management is OUR Goal! El Control Del Dolor Es Nuestra Meta. goal To the Doctor and Nurse: If This Box is Checked, This Patient is a Limited English Proficiency Patient Who Speaks Only Pleaser print the name of the language * Clean only with soap & water, Expo cleaner, Windex or Isopropyl alcohol. Do not use other cleaners or disinfectants! *

3 A x24-Rev-6.ai 1/15/ :43:24 AM.. Today s Date: (Fecha): Room#: (# de Cuarto): Nurse: (Enfermera): Physician: (El Médico): Telephone #: (# de Telefono): ext. Nurse Assistant: (Ayudante de la Enfermera): Supervisor (Supervisor): Case Manager: (Trabajador Social): Name: Respiratory Therapist: (Terapia Respiratoria): Name: Rehabilitation: (Rehabilitación): Name: Pain Management is OUR Goal! El Control Del Dolor Es Nuestra Meta! goal To the Doctor and Nurse: Please check appropriate box Limited English: Hearing Impaired Blind Language * Clean only with soap & water, Expo cleaner, Windex or Isopropyl alcohol. Do not use other cleaners or disinfectants! *

4 A2193-r8-18x24-PF.ai 3/31/2009 5:01:35 PM Month Today s Date: (Fecha): Room#: (# de Cuarto): Today s Plan: (plan de Cuidado para Hoy): Telephone #: (# de Telefono): Nurse: (Enfermera): C M Y CM MY Nursing Assistant/PCT: (ayudante de la Enfermera): CY CMY K Physician: (Médico): No Pain Moderate Pain Severe Pain Goal: To the Doctor and Nurse: If This Box is Checked, This Patient has Special Needs. * Clean only with soap & water, Expo cleaner, Windex or Isopropyl alcohol. Do not use other cleaners or disinfectants! * from ahutton.com

5 A2195-r5-18x24-PF.ai 1 3/4/2011 1:25:41 PM Month Today s Date: (Fecha): Room#: (# de Cuarto): Today s Plan: (plan de Cuidado para Hoy): Telephone #: (# de Telefono): Nurse: (Enfermera): Nursing Assistant: (Enfermera): Respiratory Therapist: (Terapeuta respiratorio): Physician: (Médico): Charge Nurse: Manager: Phone #: Phone #: No Pain Moderate Pain Severe Pain Sin dolor Dolor moderado Dolor severo To the Doctor and Nurse: If This Box is Checked, This Patient has Special Needs. Hearing L R Sight Speech * Clean only with soap & water, Expo cleaner, Windex or Isopropyl alcohol. Do not use other cleaners or disinfectants! * from ahutton.com A2195-r5 54 boards +film +plastic frame

6 A3523-r1-24x36-OAF-combo.ai 1 1/20/ :29:06 PM Month Today s Date: (Fecha): Room#: (# de Cuarto): Today s Plan: (plan de Cuidado para Hoy): Telephone #: (# de Telefono): Nurse: (Enfermera): Nursing Assistant: (Enfermera): Respiratory Therapist: (Terapeuta respiratorio): Physician: (Médico): Charge Nurse: Manager: Phone #: Phone #: No Pain Moderate Pain Severe Pain Sin dolor Dolor moderado Dolor severo To the Doctor and Nurse: If This Box is Checked, This Patient has Special Needs. Hearing Sight Speech L R * Clean only with soap & water, Expo cleaner, Windex or Isopropyl alcohol. Do not use other cleaners or disinfectants! * from ahutton.com

7 A5249-r1-18x24-PF-f.ai 1 6/22/ :03:57 AM IT S OUR GOAL TO: TODAY S DATE NURSE NURSE ASST. / ED TECH ED DOCTOR / PROVIDER A5203-r3 32 Boards +PF +film

8 . A5442-r2-18x24-PF-f.ai 1 8/22/2012 2:21:22 PM Today s Date: (Fecha) Clearlake Room #: (# de cuarto) Nurse: (Enfermera) Telephone #: (# de télefono) Nurse Assistant: (Ayudante de la enfermera) Physician: (Médico) Consultants: (Consultores) Respiratory Therapist: (Terapia respiratoria) Rehabilitation: (Rehabilitación) PT: ST: OT: Case Manager: (Trabajador social) Notes from Family: (Notas de familia) * Clean only with soap & water, Expo cleaner, Windex or Isopropyl alcohol. Do not use other cleaners or disinfectants! *.

9 . A5443-r2-18x24-PF-f.ai 1 8/22/2012 2:22:58 PM Today s Date: (Fecha) Clearlake Room #: (# de cuarto) Nurse: (Enfermera) Telephone #: (# de télefono) Physician: (Médico) Consultants: (Consultores) Respiratory Therapist: (Terapia respiratoria) Rehabilitation: (Rehabilitación) PT: ST: OT: Case Manager: (Trabajador social) Notes from Family: (Notas de familia) * Clean only with soap & water, Expo cleaner, Windex or Isopropyl alcohol. Do not use other cleaners or disinfectants! *.

10 A5542-r2-36x24-PF-f.ai 1 10/2/ :40:31 AM Kindred Wyoming Valley Today s Date: Dedicated to Hope, Healing and Recovery Today s Plan: Room #: Telephone #: Nurse: Nursing Assistant: PUPP Program Therapy: Respiratory Therapist: Getting OOB / Transfer Method: Physician: Diet: Case Manager: Feeding Assist Aspiration Precaution 0 1 No Pain Moderate Pain Severe Pain Fall Precaution Skin Precaution HOB Precaution Isolation Precaution Decannulation Precaution * Clean only with soap & water, Expo cleaner, Windex or Isopropyl alcohol. Do not use other cleaners or disinfectants! * - from ahutton.com A5542-r2 38 total boards (two po s one for 36 one for 2) +Film + plastic frame

11 A5560-r2-24x24-OAF-f.ai 1 9/27/2012 3:52:36 PM Su Mo Tu We Th Fr Sa Room Phone: Date: Room No: Our Commitment To You - Frequent Communication - Keeping You Safe Patient s Preffered Name: - Including You in Nurse Shift Report -Timely Response - Clean, Quite Environment - Washing Our Hands Care Team Family Communications RN: Physician: Discharge Planner: Today s Plan? What do I need to do to be involved in my care: Excellent Care for Me means:? Why is it important: Anticipated Discharge Plan, Date, & Time: Please tell us if you hurt 0 No Hurt Hurts Little Bit Hurts Little More Hurts Even More Hurts Whole Lot Hurts Worst Goal for Pain Scale

12 A1470-r7-18x24.ai 1 1/18/ :57:49 PM. Nurse: Mon Tue Wed Thur Fri Sat Sun Today s Date: Room #: Phone #:???-A ???B Our goal is for you to ALWAYS be VERY SATISFIED. Treat you with courtesy and respect Control your pain Listen to you carefully Check on you frequently Provide a clean and quiet environment Answer your call light promptly Explain medications and procedures Keep you informed Today s Plan: CNA: Case Manager: Interdisciplinary Team Conference will be held on Respiratory: Precautions: Fall Precaution Skin Precaution Isolation Precaution: Diet Consistency: Rehab Schedule: PT: OT: Ambulation Yes / No Walker Gait belt Other Assist Devices Glide sheet Hovermatt Other Transfer Devices Stand Assist Mechanical Lift Other Speech: Partial weight bearing Non-weight bearing Turning Schedule Pain Management is OUR Goal! Thank you for allowing us the privilege of taking care of you and your family member. Our goal is to provide you with VERY GOOD care. I hope we were able to accomplish that goal. If your call bell has not been answered within 10 minutes, please call A supervisor will assist you with your needs. * Clean only with soap & water, Expo cleaner, Windex or Isopropyl alcohol. Do not use other cleaners or disinfectants! from ahutton.com* A1470-r7 84 boards VDATA +Film +plastic frame.