06/11/09, 1130hrs
NURSING (AM)

G/C: Conscious and alert. Sat out during shift.
FP observed and maintained. ADL assisted.
On O2 – SPO2: 100% on 2L via Nasal Prong, 95% in RA.
NGT sited on (L) nostril, insitu. Feeds tolerated well.
(L) Knee and shin dressing, dry and intact.
Dressing due EOD, to change cm. STO to be done.
Today’s Changes:
(H): 15/11/09
24H Urine collection for UTP:
Preservatives obtained.
Urine collection started @ 1100hrs, to end cm @ 1100hrs.
To note total urine volume.
Bld for inx (HbA1C) to do. – Form Labelled
Outpt Lifecare to obtain upon d/c.
To continue caregiver training on NGT Feeding.
VFS arranged on 11/11/09 @ 1500hrs

RN JOSEPH @ 1145hrs
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06/11/09, 1200hrs
SPEECH THERAPY

ST Order:
1) FM Diet ˝ Share
2) Cont’d NGT
3) R/V after VFS, 11/11/09
ST Input:
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX X
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX X
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX X

ST MARY @ 1210hrs
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06/11/09, 1300hrs
NURSING (AM)

S/B ST, to note input:
FM Diet ˝ Share, taken well. Nil coughing seen.
Feeds @ 1200hrs omitted, pt taken ˝ share FM diet.
To resume feeds @ 1500hrs, as scheduled.
Caregiver training on NGT Feeding:
Family arrived ward @ 1230hrs. Procedure revised with family.
Pt’s wife did some hands-on. Explained to them the importance
of checking tube position prior feeding and complication.
Caregiver competency Ax:
Family – seems to be +ve and forthcoming towards VFS that
pt doesn’t require NGT. Enforced to family that caregiver need to
be competent before VFS, in case pt has to be d/c with NGT.
Wife – Not familiar with procedure and was distracted easily,
require prompting++ despite yesterday’s session.
Pt – Able to prompt wife in procedure and understood feeding
complication.
Caregiver Training Plan:
To continue training and Ax as arranged, cm @ 1200hrs.

RN JOSEPH @ 1315hrs
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06/11/09, 1345hrs
NURSING (AM)

Bld for inx (HbA1C), taken and desp @ 1330hrs.
1330hrs: Acupuncture Centre called to send pt for acupuncture
cm @ 1000hrs. To e-Porter cm.

RN JOSEPH @ 1145hrs
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