Admission
Required Documentation
Discharge
MAR
Central Lines
100
Labs Collected on Unit
What is Unit Collector?
100
IV, I/O, Phototherapy, Isolette Temp
What is required hourly documentation?
100
Med Rec & Provider Summary
What is discharge paperwork?
100
Link Override to Medication to Med Order
How do you resolve an override pull?
100
Documentation Prior to Placement
What is the "Time Out' Sheet?
200
Location to document admission information
What is Admission Navigator?
200
Safety Check, % bag O2, Suction Date, Code Sheet, Alarm Setting
What is required every shift?
200
Nursing Summary
Where does RN write discharge note?
200
Adjust Time Link
How do you adjust medication times?
200
Monitor Insertion
What is the central line insertion checklist for?
300
Unit Orientation
Where do you document unit orientation?
300
I/O, Pain, Temperature & Abd Girth, Feeding
What is required every feeding?
300
Scheduled Partner Appointments
What appointments show up in the AVS?
300
Red Overdue Button
How do you resolve overdue medications?
300
CVC Double or Single lumen
What is the LDA for a broviac?
400
Patient Profile
Where do you document language preference?
400
Airway Temperature;Vent Settings
What is required for hourly ventilator documentation?
400
Follow Up Appointment Section
How do you add appointments over 90 days?
400
MAR Report
Where do you review medication due times?
400
IV/Line Assessment Flow sheet
Where do you find the LDA for a central line?
500
Values/Beliefs/Psychosocial
Where do you document psych/social/spiritual?
500
HOB Elevated, Oral Care, & Vent Weaning Assessment
What is VAP documentation?
500
Plan of Care & Completed Education Points
What do you resolve before discharge?
500
Blue Banner of Medication
Where do you review provious medication administration?
500
Hourly -IV/Line Assessment Flow sheet
How often do you chart on the central line?
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