Long Hand Charting for Iv Insertion and Removal, Trach Care and Suctioning with Dressing Change

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Pt requires 20 gauge IV for _______. 20 gauge catheter inserted to the right anterior forearm, first attempt. Flushed with 10 cc normal saline. Stat lock in place, covered with transparent dressing. Pt tolerated well with no complaints of pain or irritation upon flushing, no visible swelling or bruising. Sharps placed in approved container, patient’s bed lowered as far as possible and assisted to comfortable position. Reassessed in 5 minutes for bleeding , none noted.

Pt requires IV discontinuation d/t: pain / infiltration / expiration of indwelling time frame. Discontinue 22 gauge IV catheter from L hand. Cannula intact. Pressure held for 3 minutes, assess for continue blood loss, none noted. 2 x 2 gauze dressing with paper tape
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Bed rail returned to upright position and bed lowered to lowest possible position.

Order written by _____ for a 16 F indwelling catheter for _(preop)__. Pt instructed on the need and gave consent denies iodine allergies. Pt is positioned in the dorsal recumbent position, perineal area cleaned with warm damp cloth and dried. Labia spread and meatus cleansed with betadine. Lubricated catheter inserted immediate return of 500 ml of cloudy

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