Vital Information
Note to Self
Assess the Situation
Oxygen Needs
100

This is how frequent I need to check vitals on acute and observation patients. 

Every 4 hours

100

When someone has a change in status where should I chart it? 

In a note

100

How often is physical assessment done on every patient (minimum)? 

Every 12 hours

100

How many liters can I put someone on nasal cannula on? 

1-6; After 4 liters need humidifier. 

200

After Surgery how often will I have vitals taken?

Every 15 minutes x4, every 30 minutes x2 every hour x 2, then every 4 hours. 

200

If a person refuses to walk, where should I chart it? 

Make a note in the Adult Cares flowsheet and if needed make a nursing note. 

200

How often should I do a focused assessment? 

As ordered, with changes, as needed

200

How many liters for simple mask? 

6-10 liters

300

How often should SpO2 be monitored and checked after intrathecal medication? 

Monitored continuously and charted every hour

300

Where should notification to provider get charted?

In a nursing note 

300
What is an example of a focused assessment? 

Neuro checks

Lungs/RR/O2

Sedation level 


300

When should I contact provider of oxygen needs?

when demand increases

400

If I am taking care of an ICU patient on oxygen, how often should I have SpO2 charted?

At least once an hour with the amount of oxygen they are on.  

400

What notes can the patient see in MyChart? 

All of them

400

How often should care plan be assessed/changed? 

Assessed once a shift minimum and changed with patient condition changes. 

400

When should respiratory therapy personnel be notified? 

When patients oxygen needs exceed cannula or any major changes, RT needs to be involved. 

500

If I am running a cardiac drip how often should I run a telemetry strip and chart on it? 

Every four hours. 

500

When should I make sure that I put a note in a patient's chart? 

Admit, change of status, notification of provider, and discharge. 

500

If there are wounds how often should we chart on them? 

Should be done every four hours with characteristics, drainage, and s/s of infection. 

500
What is the benefit of using an oxi-mask? 

Less CO2 retention. 

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