Global: ^NUPA(1927.24

FileMan FileNo	FileMan Filename	Package
1927.24	NUPA ASSESSMENT INTERVENTIONS	Patient Assessment Documentation

Package	Total	FileMan Files
Patient Assessment Documentation	1	NUPA CARE PLANS(#1927.4)[#1927.461(.01), #1927.47(.01)]

Package	Total	FileMan Files
Patient Assessment Documentation	1	NUPA ASSESSMENT PROBLEMS(#1927.2)[1]

Field #	Name	Loc	Type	Details
.01	NAME	0;1	FREE TEXT	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:$L(X)>235!($L(X)<3)!'(X'?1P.E) X` LAST EDITED: `MAR 20, 2009` HELP-PROMPT: `Answer must be 3-235 characters in length.` DESCRIPTION: `A nursing intervention for a problem.` CROSS-REFERENCE: `1927.24^B` `1)= S ^NUPA(1927.24,"B",$E(X,1,30),DA)=""` `2)= K ^NUPA(1927.24,"B",$E(X,1,30),DA)`
1	PROBLEM	0;2	POINTER TO NUPA ASSESSMENT PROBLEMS FILE (#1927.2)	**********************REQUIRED FIELD********************** NUPA ASSESSMENT PROBLEMS(#1927.2) LAST EDITED: `JUN 24, 2011` DESCRIPTION: `The problem that this intervention is related to.`
2	DISPLAY ORDER	0;3	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X` LAST EDITED: `JUN 24, 2011` HELP-PROMPT: `Type a number between 1 and 99, 0 decimal digits.` DESCRIPTION: `The order in which this intervention will display.`
3	ACTIVE	0;4	SET	**********************REQUIRED FIELD********************** '1' FOR YES; '0' FOR NO; LAST EDITED: `SEP 12, 2011` DESCRIPTION: `Determines whether the intervention can be displayed. Never delete an intervention using Fileman.`

NAME: Education - Encourage early ambulation and exercise after surgical procedures	NAME: Treatments/procedures - Administer anticoagulant medication as ordered	NAME: Treatments/procedures - Use elastic compression stockings	NAME: Treatments/procedures - Use intermittent compression devices	NAME: Treatments/procedures - Use sequential compression devices	NAME: Treatments/procedures - Use foot pumps	NAME: Surveillance - Provide ongoing assessment for Homan's sign	NAME: Case Management Other 1
NAME: Treatments/procedures - Provide ambulation consistent with provider order	NAME: Treatments/procedures - Use elastic compression stockings as ordered	NAME: Treatments/procedures - Use intermittent compression devices as ordered	NAME: Treatments/procedures - Administer anticoagulant medications as ordered	NAME: Surveillance - Provide ongoing assessment related to respirations, pain etc	NAME: Other	NAME: Education - Educate on causes/contributing factors	NAME: Education - Educate on difference in right and left sided heart failure
NAME: Education - Educate on symptoms	NAME: Education - Educate on symptoms of left sided heart failure (dyspnea on exertion, dyspnea at rest, orthopnea, paroxysmal nocturnal dyspnea, dizziness, confusion, cool extremities etc).	NAME: Education - Educate on diet, fluid restriction, & sodium restriction	NAME: Education - Educate on stress reduction	NAME: Surveillance - Monitor I & O	NAME: Surveillance - Monitor weight	NAME: Surveillance - Monitor activity tolerance	NAME: Surveillance - Assess for anxiety and depression
NAME: Education - Educate on modifiable and non-modifiable risk factors	NAME: Education - Educate on diet	NAME: Education - Educate on high blood pressure control	NAME: Education - Educate on exercise/activity	NAME: Education - Educate on medications	NAME: Education - Educate on smoking	NAME: Education - Educate on signs and symptoms related to cardiac problems	NAME: Education - Educate on actions to take at home when any symptoms occur
NAME: Education - Encourage patient to notify nurse at first sign of chest pain/pressure, difficulty breathing, numbness/tingling of extremities	NAME: Treatments/procedures - Have oxygen and oxygen equipment at bedside	NAME: Surveillance - Monitor cardiac rhythms	NAME: Surveillance - Assess for potential barriers to adherence to cardiac rehabilitation programs	NAME: Surveillance - Assess for potential barriers to medication regime	NAME: Surveillance - Assess for family/social support systems	NAME: Case Management - Support referral to and participation in cardiac rehab program	NAME: Case Management - Provide information on importance of learning about automatic electronic defibrillator devices and CPR.
NAME: Treatments/procedures - Arrange for 12 lead EKG if abnormal rhythm develops as ordered by provider	NAME: Surveillance - Monitor labs and oxygenation status which might precipitate abnormal rhythm	NAME: Surveillance - Monitor EKG changes that increase the risk of dysrhythmia development (prolonged QT interval, frequent PVCs, and ectopy close to the T wave)	NAME: Surveillance - If abnormal cardiac rhythms occur, evaluate patient for other signs/symptoms associated with the rhythm (e.g. chest pain, difficulty breathing, dizziness etc.)	NAME: Education - Educate on risk factors including atherosclerosis, smoking, hyperlipidemia, diet, hypertension, diabetes etc.	NAME: Education - Educate on treatment options	NAME: Education - Educate on related procedures	NAME: Education - Educate on self assessment for tissue breakdown
NAME: Education - Educate on activities which interfere with circulation (smoking, restrictive clothing, exposure to cold, crossing of legs and feet)	NAME: Treatments/procedures - Administer medications as ordered	NAME: Surveillance - Provide ongoing assessment of skin and peripheral circulatory status to include pulses, pain, pallor, paresthesias and paralysis	NAME: Education - Encourage periodic elevation of extremity(ies)	NAME: Education - Encourage patient to avoid prolonged periods of sitting and standing	NAME: Education - Educate on causes (e.g. valve incompetence, phlebitis, thrombus or blood clot)	NAME: Education - Educate on symptoms (e.g. throbbing, cramping, burning, fatigue, swelling of extremity, varicose veins)	NAME: Education - Educate on risk factors (e.g. heredity, obesity, pregnancy, sedentary lifestyle, smoking, long periods of standing or sitting in one place, age & sex - female over 50)
NAME: Education - Educate on treatment options and related procedures	NAME: Education - Educate on activity levels, ROM exercises (active or passive), and activities which interfere with circulation (smoking, restrictive clothing, exposure to cold, crossing of legs and feet)	NAME: Education - Educate on care of feet	NAME: Treatments/procedures - Apply compression stockings as ordered	NAME: Treatments/procedures - Apply dressings as ordered	NAME: Treatments/procedures - Provide wound care as ordered	NAME: Treatments/procedures - Protect extremities from injury (e.g. bed cradles, sheepskin, etc)	NAME: Treatments/procedures - Ask patient about preferred communication approach
NAME: Treatments/procedures - Demonstrate patience	NAME: Treatments/procedures - Face the client directly, speak slowly, clearly and concisely	NAME: Treatments/procedures - Use a sign language interpreter as appropriate	NAME: Treatments/procedures - Keep background noise to a minimum when communicating	NAME: Treatments/procedures - Encourage verbalization of questions and concerns	NAME: Treatments/procedures - Periodically assess effectiveness of communication by asking patient to repeat what was said	NAME: Treatments/procedures - Use paper, pencil, or computer communication when necessary	NAME: Treatments/procedures - Implement the use of assistive listening devices (ALDs) when appropriate
NAME: Treatments/procedures - Use pictures or diagrams depicting tests/procedures	NAME: Surveillance - Watch for signs of depression and refer for further assessment and treatment as needed	NAME: Education - Provide information on how to access needed supplies in environment	NAME: Education - Support patient's current techniques/approaches (if successful) for ambulation, eating, dressing, hygiene, learning, and self medication	NAME: Education - If current techniques/approaches to activities of daily living are insufficient, educate on possible approaches known to be successful	NAME: Education - Educate on ways to obtain needed visual aids to assist patient in daily functioning	NAME: Education - Inform patient on current environment and assist in planning for ambulation within it	NAME: Treatments/procedures - Institute fall precaution interventions for the visually impaired patient
NAME: Surveillance - Keep environment free of clutter	NAME: Surveillance - Place needed supplies within easy patient reach	NAME: Treatments/procedures - Face the patient and make eye contact	NAME: Treatments/procedures - Use simple words and short sentences	NAME: Treatments/procedures - Use an alphabet board	NAME: Treatments/procedures - Use a picture board	NAME: Treatments/procedures - Use hand gestures	NAME: Treatments/procedures - Provide writing materials
NAME: Treatments/procedures - Provide positive reinforcement and praise as appropriate	NAME: Treatments/procedures - Use a towel bath to bathe the patient if appropriate	NAME: Treatments/procedures - Use comforting words to describe the bathing experience such as "warm', "relaxing," or "massage" Approach patient in a calm manner	NAME: Treatments/procedures - Ensure that bathing assistance preserves patient dignity	NAME: Treatments/procedures - Use non-detergent, no-rinse prepackaged bathing products	NAME: Treatments/procedures - Support bathing practices that may have culturally specific significance for social well-being	NAME: Treatments/procedures - Use warm (40 degree C) bath water for tub bath for elderly person	NAME: Treatments/procedures - Have shower cleaned immediately before use by immuno-compromised patients
NAME: Education - Educate patient on dressing techniques and aids	NAME: Treatments/procedures - Use larger size clothing that is easier to put on	NAME: Treatments/procedures - Consider clothing that uses Velcro fasteners, not buttons and zippers	NAME: Treatments/procedures - Consider clothing that opens down the back for women in wheelchairs	NAME: Treatments/procedures - Provide clear, simple, step by step instructions for patient with dementia	NAME: Treatments/procedures - Determine patient's ability to feed self and type of assistance necessary	NAME: Treatments/procedures - Provide social stimulation/interaction during the feeding process	NAME: Treatments/procedures - Offer additional foods and fluids between meals
NAME: Treatments/procedures - Provide oral liquid nutritional supplements between meals to promote adequate nutrient intact	NAME: Treatments/procedures - Monitor daily feeding assistance by direct observation	NAME: Treatments/procedures - Assess patient's preferences for foods and fluids while awake	NAME: Treatments/procedures - Determine patient's comfort and stability with ambulation	NAME: Treatments/procedures - Determine patient's comfort and stability with ambulation using devices such as cane and walker	NAME: Treatments/procedures - Provide for assistance with ambulation as needed	NAME: Education - Work collaboratively to establish a toileting pattern that is acceptable to patient	NAME: Education - Educate on principles of bowel training
NAME: Education - Educate on importance of foods, fluids, and exercise	NAME: Education - Educate on medications/laxatives ordered by provider and instructions for use	NAME: Education - Educate on positioning for bowel evacuation and importance of responding promptly to the urge to defecate	NAME: Treatments/procedures - Provide exercise as appropriate for patient	NAME: Treatments/procedures - Administer laxatives/medications ordered by provider and monitor patient response	NAME: Treatments/procedures - Provide patient privacy for bowel elimination unless contraindicated	NAME: Surveillance - Document bowel elimination pattern, problems, and description of stool	NAME: Treatments/procedures - Provide and encourage adequate fluids
NAME: Treatments/procedures - Provide foods high in fiber	NAME: Treatments/procedures - Provide foods identified by patient as helpful with bowel elimination	NAME: Treatments/procedures - Provide exercise as appropriate for patient	NAME: Treatments/procedures - Provide privacy for defecation unless contraindicated	NAME: Treatments/procedures - Support patient's established bowel program (days of week, time of day etc)	NAME: Surveillance - Identify the history and cause of the diarrhea	NAME: Surveillance - Note and record the color, volume, frequency and consistency of stools using objective and quantitative descriptions.	NAME: Surveillance - Assess patient carefully for signs of dehydration
NAME: Surveillance - Observe for signs and symptoms of diarrhea including fever, abdominal distention, abdominal pain, nausea, vomiting, or weight loss.	NAME: Surveillance - Notify provider of watery diarrhea or an increase in frequency or pitch of bowel sounds	NAME: Surveillance - Document in detail the patient's description of the stool characteristics, length of time the diarrhea has been present	NAME: Treatments/procedures - Implement a bowel training program	NAME: Treatments/procedures - Use barrier products on peri-anal area after cleaning	NAME: Treatments/procedures - Use incontinence pads, diapers, and/or sanitary pads as appropriate	NAME: Treatments/procedures - Keep bed and clothing clean	NAME: Treatments/procedures - Ensure dietary fiber intake that facilitates continence for the individual
NAME: Treatments/procedures - Use intra-anal devices (rectal/anal tubes, trumpets, or plugs) as ordered and appropriate	NAME: Treatments/procedures - Use extra-anal devices (rectal pouches or anal bags) as appropriate	NAME: Surveillance - Monitor defecation and bowel patterns	NAME: Surveillance - Monitor for adequate bowel evacuation	NAME: Surveillance - Monitor for side effect of medication administration	NAME: Treatments/procedures - Position patient ( as recommended from a swallowing evaluation) for improved safety during swallowing	NAME: Treatments/procedures - Add a thickening agent to fluids and use food consistencies as determined by the swallowing evaluation to reduce the risk of aspiration	NAME: Treatments/procedures - Encourage patient to perform swallowing exercises as prescribed that can improve swallowing effectiveness
NAME: Surveillance - Ensure that patient with possible dysphagia receives a formal swallowing evaluation to help reduce the likelihood of aspiration pneumonia	NAME: Treatments/procedures - Use acupressure at pressure points to decrease nausea and vomiting following some surgeries	NAME: Treatments/procedures - Administer anti-emetic medication as ordered	NAME: Treatments/procedures - Use aromatherapy as ordered	NAME: Treatments/procedures - Use guided imagery and progressive muscle relaxation	NAME: Treatments/procedures - Provide support and information	NAME: Treatments/procedures - Administer effective anti-emetic drugs as ordered	NAME: Education - Teach patient to keep a food diary
NAME: Education - Encourage a caloric intake appropriate for body type and lifestyle	NAME: Education - Provide appropriate information about nutritional needs and how to meet them	NAME: Education - Encourage patient to wear properly fitted dentures and/or obtain dental care	NAME: Education - Provide high-protein, high-calorie, nutritious finger foods and drinks that can be readily consumed	NAME: Treatments/procedures - Provide a sugar substitute, as appropriate	NAME: Treatments/procedures - Ensure that diet includes foods high in fiber content to prevent constipation	NAME: Treatments/procedures - Offer herbs and spices as an alternative to salt	NAME: Surveillance - Assess dietary changes and demands during acute illness
NAME: Surveillance - Inquire about food allergies	NAME: Surveillance - Ascertain food preferences	NAME: Surveillance - Assess nutritional requirements in collaboration with the dietician	NAME: Surveillance - Weigh patient at specified intervals	NAME: Surveillance - Monitor the type and amount of usual exercise	NAME: Surveillance - Monitor emotional response when placed in situations that involve food and eating	NAME: Surveillance - Monitor the environment where eating occurs	NAME: Surveillance - Monitor gums for swelling, sponginess, receding, and increased bleeding
NAME: Surveillance - Monitor pre-albumin levels	NAME: Surveillance - Monitor for pale, reddened, and dry conjunctival tissue	NAME: Surveillance - Monitor for dry, flaky skin with depigmentation	NAME: Surveillance - Monitor for dry thick hair that is easy to pluck	NAME: Surveillance - Monitor caloric and nutrient intake	NAME: Surveillance - Monitor for spoon-shaped, brittle, ridged nails	NAME: Surveillance - Note any sores, edema, and hyperemic and hypertrophic papillae of the tongue and oral cavity	NAME: Surveillance - Determine patient's ability to meet nutritional needs
NAME: Case Management - Initiate a dietary consult as appropriate	NAME: Treatments/procedures - Elevate the head of bed 30 to 45 degrees during feedings	NAME: Treatments/procedures - Confirm tube placement by x-ray prior to administering feedings or medications via the tube per agency protocol	NAME: Treatments/procedures - Use a closed versus an open enteral delivery system of tube feeding, if possible	NAME: Treatments/procedures - For an open system, use aseptic technique when handling the feeding tube, the formula, the feeding tube set, the connection hub and the ports for medication use Change set every 24 hours	NAME: Treatments/procedures - Use a pump to administer the tube feeding in patients who have post-pyloric feedings or who are bedridden	NAME: Treatments/procedures - Provide oral care at least 2 times per day	NAME: Treatments/procedures - Flush the tube with at least 30 ml of warm water Q4H during continuous feedings, before/after administering a medication through the tube and before and after administering a bolus feeding and after checking gastric residual
NAME: Treatments/procedures - Secure the tube to the nose, avoiding pressure on the nares and movement of the tube	NAME: Treatments/procedures - Change the tape or device holding the nasogastric or nasoenteric tube in place daily	NAME: Treatments/procedures - Check the mark or length of the external portion of the tube to make sure that the tube has not moved when preparing to re-tape.	NAME: Surveillance - Measure gastric residual volume to predict the risk for aspiration	NAME: Surveillance - Use a large-diameter tube with multiple ports to measure gastric residual volumes (using a small bore is less accurate)	NAME: Treatments/procedures - Stabilize the G-tube to prevent the dislodgement and/or migration of the tube until the tract is healed	NAME: Treatments/procedures - Check the placement of the G-tub by first pulling gently on the tube until resistance is me and then marking the spot at the exit site with a permanent marker. (This marking should be observed before the administration of a tube feeding or medications)	NAME: Treatments/procedures - Cleanse the skin surrounding the G-tub with soap and water
NAME: Treatments/procedures - Place a surgical drain sponge or an absorbent dressing around the drain site if there is a leakage of gastrointestinal contents. Change dressing as needed to maintain dry and intact skin	NAME: Treatments/procedures - If the skin surrounding the G tube becomes irritated or denuded, determine the cause	NAME: Treatments/procedures - Flush the G-tube with a 30 ml or larger syringe to prevent excess pressure and possible rupture of the tube. Base flush volumes on the basis of maintaining the patency of the tube and the hydration requirements administration of medications and feedings	NAME: Treatments/procedures - If necessary to use the tube for decompression of the stomach use gravity drainage only	NAME: Surveillance - Watch for the formation of hyper-granulation tissue, which occurs when there is an inflammatory reaction to the tube that causes the appearance of mucosa-like tissue outside the tract	NAME: Education - Encourage oral intake through systematic prompting	NAME: Education - Encourage oral intake by offering preferred fluids	NAME: Education - Encourage family, support person to assist patient with feedings as appropriate
NAME: Treatments/procedures - Weigh patient as indicated by acuity and monitor trends	NAME: Treatments/procedures - Replace fluids through oral re-hydration or IV therapy as ordered and appropriate	NAME: Treatments/procedures - Maintain an accurate I & O record	NAME: Surveillance - Monitor food intake	NAME: Surveillance - Monitor VS as appropriate	NAME: Surveillance - Monitor clinical indicators of hydration status: thirst, dry oral mucous membranes, adequacy of pulses, orthostatic blood pressure, breath sounds, edema, neck vein distention, ascites, tongue furrows and mental status indicators such as anxiety, restlessness, confusion, and lethargy	NAME: Surveillance - Monitor relevant laboratory results: sodium, serum osmolality, BUN/creatinine ratio, hematocrit, urine osmolality, and urine specific gravity	NAME: Surveillance - Monitor changes from baseline for laboratory results relevant to fluid balance
NAME: Surveillance - Monitor hemodynamic status including CVP, MAP, PAP and PCWP, if available	NAME: Surveillance - Monitor effects of diuretics	NAME: Surveillance - Monitor urine color	NAME: Education - Assess teaching needs	NAME: Education - Assess for potential problems related to learning (language, visual problems, manual dexterity etc)	NAME: Education - Educate on medication management: how to administer insulin (when appropriate) and potential mediation interaction	NAME: Education - Educate on signs and symptoms and treatment of hyperglycemia	NAME: Education - Assess patient"_$C(146)_"s current understanding of own diabetic condition
NAME: Education - Assess teaching needs and develop plans for meeting them.	NAME: Education - Educate on nutritional management: focus on role of carbohydrate intake in blood glucose management	NAME: Education - Educate on the importance of exercise	NAME: Education - Educate on foot, skin, dental, and eye care	NAME: Education - Educate on signs and symptoms and treatment of hypoglycemia	NAME: Education - Educate on the importance blood glucose monitoring and how to obtain a blood glucose meter	NAME: Education - Instruct on the use of a blood glucose meter	NAME: Education - Educate on sick day guidelines: how to care for yourself, who to contact in an emergency or for more information
NAME: Education - Plan for post discharge education or self management support	NAME: Treatments/procedures - Establish a plan for the treatment of hypoglycemia	NAME: Treatments/procedures - Establish a plan for coordinating administration of insulin and delivery of meals	NAME: Surveillance - Review and follow specific blood glucose monitoring protocols for patient	NAME: Surveillance - Share results of blood glucose monitoring with all members of the healthcare team	NAME: Surveillance - Monitor nutritional status	NAME: Surveillance - Identify episodes of hypoglycemia (blood sugar <70 mg/dL) and capture possible contributing factor	NAME: Surveillance - Evaluate contributing reasons for episodes of hypoglycemia for systematic trends
NAME: Case Management - Refer for nutritional assessment if patient not consistently reaching glucose targets	NAME: Treatments/procedures - Maintain a closed urinary drainage system	NAME: Treatments/procedures - Wash hands immediately before and immediately after any manipulation of the catheter site or of the bag, such a emptying the bag	NAME: Treatments/procedures - Apply clean gloves before emptying a catheter bag, and remove them afterward	NAME: Treatments/procedures - Secure the catheter to the patient's thigh or lower abdomen	NAME: Treatments/procedures - Schedule the removal of the catheter from a surgical patient between 10:00 pm and 12 midnight rather than in the morning	NAME: Surveillance - Observe for any sediment, blood clots in urine	NAME: Surveillance - Observe for any signs of inflammation/infection at catheter insertion site
NAME: Education - Instruct the patient to notify the nursing staff at once if he/she experiences any untoward reaction to the transfusion such as chills, fever, headache, backache, chest pain, itching, difficulty breathing, or palpitations	NAME: Treatments/procedures - Verify the physician's orders	NAME: Treatments/procedures - Obtain patient's transfusion history	NAME: Treatments/procedures - Confirm that patient has given informed consent	NAME: Treatments/procedures - Assemble the administration system with the filter appropriate for the blood product and the patient's immune status. Prime the administration system with isotonic saline	NAME: Treatments/procedures - Change the administration set and filter every 12 hours or after every fourth unit of blood	NAME: Treatments/procedures - Perform venipuncture using an 18 or 20 gauge catheter	NAME: Treatments/procedures - Verify the correct patient, blood type, Rh type, unit number and expiration date and record per agency protocol
NAME: Treatments/procedures - Administer the blood product within 30 minutes of its retrieval from the blood bank. If a delay occurs, return the product to the blood bank. Do not store in the refrigerator on the nursing unit.	NAME: Treatments/procedures - Refrain from administering IV medication or fluids, other than isotonic saline into the blood or blood products lines	NAME: Treatments/procedures - Refrain from transfusing blood or blood products removed from refrigeration for more than 4 hours (If transfusion is not completed within 4 hours, discard the remainder of the unit)	NAME: Treatments/procedures - If transfusion reaction is suspected, immediately remove the blood product and all IV tubing and save. Replace with isotonic saline utilizing new tubing and infuse at TKO. Notify the blood bank and the physician immediately	NAME: Treatments/procedures - If a minor transfusion reaction occurs (e.g. fever or headache) stop the infusion and notify the blood bank and physician for further direction	NAME: Treatments/procedures - Document date/time infusion was started, staff member verifying the recipient's identification, blood product administered, amount administered, time the transfusion was completed and the patient's response.	NAME: Treatments/procedures - Use a blood warmer as ordered for large transfusions in adults (>50 ml/kg/hour) or patients with significant cold agglutinins	NAME: Surveillance - Monitor patient for transfusion reactions (uticaria, chills, fever, change in level of consciousness, chest or flank pain, tachycardia, hypotension, new-onset cough, difficulty breathing, or signs of fluid overload)
NAME: Surveillance - Monitor VS immediately before administering blood, 15 minutes after initiation of transfusion, every 15 to 60 minutes during the infusion, when the infusion is completed, and 4 hours after completion of the transfusion.	NAME: Treatments/procedures - Wash hands using conventional antiseptic soap and water or with waterless alcohol	NAME: Treatments/procedures - Maintain aseptic technique while performing all TPN-administration-related procedures to reduce the risk of catheter-related bloodstream infection	NAME: Treatments/procedures - Use a specialized team to administer and monitor TPN therapy to reduce the risk of complications and cost of care	NAME: Treatments/procedures - Administer TPN through a centrally placed catheter to reduce the risk of phlebitis and damage to peripheral veins	NAME: Treatments/procedures - Identify the patient and assess for the appropriate formula and rate of infusion before initiating the TPN infusion	NAME: Treatments/procedures - Administer PTN using an electronic infusion pump	NAME: Treatments/procedures - Infuse TPN solutions that contain lipids within 24 hours and complete the infusion of lipid emulsions alone within 12 hours of hanging the solution
NAME: Treatments/procedures - Assess for and consult with the pharmacist regarding the compatibility of medications added to the TPN solution to reduce the risk of precipitate formation. Add medications immediately before hanging the solution.	NAME: Treatments/procedures - Maintain TPN administration through a dedicated and separate administration et using a dedicated lumen of the patient's CVC	NAME: Treatments/procedures - Change IV administration sets for TPN solutions that do not contain lipids very 72 hours	NAME: Treatments/procedures - Change IV administration sets for IV fat emulsions - administered either separately or as part of a three-in-one TPN solutions - every 24 hours, because lipid solutions are known to enhance microbial growth	NAME: Treatments/procedures - If the TPN must be stopped abruptly, hang a solution of dextrose 10% for a central line catheter	NAME: Treatments/procedures - Initiate an infusion of dextrose 5% in water solution at the same rate as the TPN if the TPN must be abruptly stopped (e.g. if the CVC is occluded).	NAME: Treatments/procedures - Use an antiseptic barrier cap over the needless device to reduce the risk of catheter-related BSI	NAME: Surveillance - Monitor the patient for signs and symptoms of metabolic-related complications and electrolyte imbalance including daily weights, intake and output, and blood glucose levels every 6 hours until stabilized at a level of less than 200 mg/dl
NAME: Surveillance - Monitor the patient and the infusion access device for signs and symptoms of catheter-related BSI which is the most common complication among patients receiving TPN in the hospital or home setting	NAME: Education - Educate the patient and family regarding purpose and care of a VAD	NAME: Treatments/procedures - Maintain universal precautions	NAME: Treatments/procedures - Access and maintenance of the VAD should be performed by a nurse with validated competency in the area	NAME: Treatments/procedures - Verify infusate orders as applicable	NAME: Treatments/procedures - Appropriately identify the patient before therapy	NAME: Treatments/procedures - Maintain aseptic technique whenever the VAD is manipulated	NAME: Treatments/procedures - Minimize interruptions of the intravenous system to reduce the risk of infection
NAME: Treatments/procedures - Dressing change: Use chlorhexidine for the skin cleansing of venous access devices for anti-sepsis while performing a dressing change	NAME: Treatments/procedures - Dressing change: Change dressing using aseptic technique and universal precautions	NAME: Treatments/procedures - Dressing change: Use either gauze squares or a transparent dressing in accordance with patient preference for the occlusive dressing of a venous access device	NAME: Treatments/procedures - Dressing change: Change the venous access device dressings every 7 days if using a transparent dressing or when the dressing is no longer intact and every 48 hours if using a gauze dressing	NAME: Treatments/procedures - Dressing change: Ensure that the catheter is secured and stabilized to prevent accidental dislodgement when changing the dressing	NAME: Treatments/procedures - Change tubing, dressings, and caps according to agency policy	NAME: Treatments/procedures - Flushing catheter: Establish a mechanism to flush the VAD (i.e. by using a positive displacement technique or technology) and flush the central VAD at regular intervals	NAME: Treatments/procedures - Flushing catheter: Use sterile technique along with specially designed non-coring needles when accessing an implanted port or pump
NAME: Treatments/procedures - Flushing catheter: Use fibrinolytic agents to restore patency to an occluded VAD per provider order when thrombotic occlusion is suspected	NAME: Treatments/procedures - Flushing catheter: Disinfect injection caps with a chlorhexidine/alcohol solution or providone-iodine both before and after flushing to reduce the risk of catheter related infection	NAME: Surveillance - Monitor for signs and symptoms associated with local and systemic infection (e.g. redness, swelling, tenderness, fever, malaise)	NAME: Surveillance - Monitor for signs of catheter occlusion	NAME: Treatments/procedures - Verify PICC placement prior to administering any IV medications or solutions to reduce the risk of complications	NAME: Treatments/procedures - Use a manufactured catheter securement device instead of tape or sutures to reduce risk of complications	NAME: Treatments/procedures - Wash hands using conventional antiseptic soap and water or with waterless alcohol=based gels or foams before and after caring for the PICC or midline catheter	NAME: Treatments/procedures - Disinfect the skin utilizing a 2% chlorhexidine-based preparation prior to dressing changes
NAME: Treatments/procedures - Use either a transparent to protect the catheter insertion site	NAME: Treatments/procedures - Change transparent dressing at least every 7 days	NAME: Treatments/procedures - Replace the catheter site dressing if it becomes damp, loosened, or soiled or when inspection is necessary	NAME: Treatments/procedures - Routinely flush intermittently used PICCs and midline catheters to maintain patency	NAME: Treatments/procedures - Flush a PICC with an open-ended distal tip with a low concentration of heparin to maintain patency	NAME: Treatments/procedures - Flush a PICC with a built-in anti-reflux valve with saline	NAME: Treatments/procedures - Use a 10 ml or larger size syringe to reduce excessive force with flushing	NAME: Treatments/procedures - Use a catheter cap/valve with positive-pressure technology
NAME: Treatments/procedures - Use a positive-pressure flushing technique to reduce the risk of blood reflux into the catheter and the risk of catheter occlusion	NAME: Treatments/procedures - Flush the PICC with saline only when a positive-pressure cap/valve is used	NAME: Surveillance - Monitor site and dressing of catheter for any signs of inflammation/infection	NAME: Education - Encourage self disclosure	NAME: Education - Reinforce MD instructions for preventions of complications related to medical diagnoses/problems	NAME: Education - Review medications with patient and family/support person and take into account risks specific to the patient	NAME: Education - Instruct patients in medication time/dose, side effects and interactions with food or other medications and supplements.	NAME: Surveillance - Provide ongoing assessment of skin and peripheral circulatory status to include edema, ulcerations, skins changes (thin, shiny, discolored etc)
NAME: Treatments/procedures - Keep assistive device within reach of patient but out of walkway	NAME: Treatments/procedures - Provide support and information	NAME: Surveillance - Assess dietary changes and demands during acute illness	NAME: Surveillance - Monitor for dry thin hair that is easy to pluck	NAME: Treatments/procedures - Check placement of G-tube by first pulling gently on tube until resistance is met & then marking spot at exit site with a permanent marker. This marking should be observed before administration of tube feeding or medications	NAME: Treatments/procedures - Cleanse the skin surrounding the G-tube with soap and water	NAME: Treatments/procedures - Provide hip protectors	NAME: Treatments/procedures - Provide height adjustable bed
NAME: Treatments/procedures - Provide floor mat	NAME: Treatments/procedures - Provide helmet	NAME: Treatments/procedures - Use exit alarm as reminder to call for assistance	NAME: Treatments/procedures - Use transfer equipment	NAME: Treatments/procedures - Create "Safe Exit Side" for transfer from bed	NAME: Treatments/procedures - Flush G-tube with 30ml or larger syringe to prevent excess pressure & possible rupture of the tube. Base flush volumes on basis of maintaining patency of tube & hydration requirements administration of medications & feedings	NAME: Surveillance - Monitor indicators of hydration status: thirst, dry oral mucous membranes, adequacy of pulses, orthostatic BP, breath sounds, edema, neck vein distention, ascites, tongue furrows, anxiety, restlessness, confusion, and lethargy	NAME: Treatments/procedures - If a diagnostic urine specimen is needed, insert new catheter & then obtain a urine specimen. If not possible, use sterile syringe to collect specimen from sample port after cleansing sampling port on tubing with antiseptic
NAME: Treatments/procedures - Use 1.2 micron filter (for 3-in-1 TPN solutions) or 0.2 micron filter (for TPN solution that does not contain lipids) as part of IV admin set when administering TPN solutions to reduce the risk of infusing particulate matter.	NAME: Treatments/procedures - Trace IV catheter from origin point every time infusion container or device is changed & when a patient is transferred from one setting to another to reduce risk of accidental connection of infusion to wrong type of catheter	NAME: Treatments/procedures - Confirm the placement of a central VAD with an x-ray report after the initial insertion and before beginning therapy	NAME: Treatments/procedures - Administer medications such as SSRIs as ordered by provider	NAME: Education - Encourage use of a support system or of visits or phone contact with a sponsor	NAME: Education - Assist patient with identifying healthier coping responses	NAME: Education - Educate on symptoms of right sided heart failure: peripheral edema, nocturia, ascites, etc.	NAME: Education - Educate on stress reduction
NAME: Treatments/procedures - Assure that call bell is always within patient's reach.	NAME: Surveillance - In the event of seizure, remove hazards, protect patient from falling, position patient on side, with head supported in a neutral in-line position, protect head and body from striking objects but do not restrain patient	NAME: Surveillance - Assess for signs of delirium-change of baseline mental status (increased lethargy, appearance of being frightened or suspicious of others, illusions/hallucinations, disorientation, nighttime agitation, new onset of memory problems)	NAME: Surveillance - Discuss fears of addiction and the terms addiction, dependence, tolerance, and pseudo-addiction with the patient	NAME: Other Intervention 1	NAME: Other Intervention 2	NAME: Surveillance - Assess regularly for dyspnea, VS, pulse ox, chest auscultation, chest wall movement, shape and abnormalities, periph edema, accessory muscle use, presence of cough/sputum, ability to say a full sentence, level of consciousness	NAME: Case Management - Facilitate referrals as appropriate
NAME: Surveillance - Monitor x-ray reports for tube positions	NAME: Treatments/procedures - Use a bowel management program to avoid constipation and bowel obstruction to lower the risk of AD	NAME: Treatments/procedures - Use a urinary management program to avoid bladder distention to lower the risk of AD	NAME: Treatments/procedures - Follow facility policy/procedures if patient experiences an episode of AD	NAME: Surveillance - Monitor closely for signs and symptoms of AD (elevated BP, pounding headache, bradycardia, profuse sweating, goose bumps, skin flushing, nasal congestions, blurred vision)	NAME: Surveillance - Assess regularly for pain and teach adequate pain management techniques	NAME: Education - Instruct patient not to get out of bed without assistance	NAME: Education - Make sure that the family knows where call bell is and how to use it
NAME: Treatments/procedures - Have following equipment assembled at bedside: Nasal cannula/tubing, oxygen flow meter, suction gauge, tubing, and canister	NAME: Treatments/procedures - Pad side rails of bed	NAME: Treatments/procedures - Keep bed in low position with all side rails up at all times	NAME: Treatments/procedures - Keep unnecessary equipment out of patients room	NAME: Treatments/procedures - Assure that call bell is always within patient"_$C(146)_"s reach.	NAME: Treatments/procedures - Avoid use of restraints	NAME: Treatments/procedures - Obtain one-to-one sitter if patient is unable to follow instructions to maintain safety	NAME: Surveillance - In the event of seizure, observe & record pattern of the seizure(s), note & record the duration of seizure(s), do not force anything, including your fingers, into the person's mouth, and check vital signs every 15 min
NAME: Surveillance - Maintain airway patency during the post ichtal phase (period of time immediately following the seizure, during which the patient remains comatose or stuporous)	NAME: Surveillance - Maintain continuous observation	NAME: Surveillance - Assign patient to room in close proximity to the nurses station	NAME: Surveillance - Conduct neurological assessment whenever there is a change in patient's status	NAME: Surveillance - Use the Glasgow Coma Scale to screen for level of consciousness	NAME: Surveillance - Monitor HR for bradycardia	NAME: Surveillance - Monitor BP for increase in systolic pressure and a widening pulse pressure, hypertension, & hypotension	NAME: Surveillance - Monitor RR for irregular breathing pattern such as Cheyne-Stokes breathing, hyperventilation, apneustic, cluster & ataxic breathing patterns
NAME: Surveillance - Monitor temp for hypothermia or hyperthermia	NAME: Surveillance - Check papillary responses and eye movement looking for dilated or pinpoint pupils	NAME: Surveillance - Assess motor activity of the body and limbs	NAME: Surveillance - Document findings of neurological assessment and identify emerging patterns	NAME: Education - Provide clear and simple explanations	NAME: Education - Provide reassurance to the patient/family/support person	NAME: Treatments/procedures - Clarify use and dosage of existing ordered psychotropic medication.	NAME: Treatments/procedures - Minimize environm. stimulation by: reduce lights when not necessary, keep activity/noise to min, organize care to provide rest periods & less phys. stimuli, normalize sleep pattern, provide increased amounts of uninterrupted sleep
NAME: Treatments/procedures - Avoid/minimize use of restraints/medical immobilization	NAME: Treatments/procedures - Provide privacy as necessary	NAME: Treatments/procedures - Provide supportive nursing care including identifying self by name at each contact with the patient and calling the patient by his or her preferred name	NAME: Surveillance - Assess for features of delirium that are a change from the patient's baseline mental status (increased lethargy, appearance of being frightened or suspicious of others, illusions/hallucinations, disorientation, nighttime agitations, new onset of memory problems etc)	NAME: Surveillance - Assess for predisposing factors for delirium (vision impairment, severe illness, dehydration, and preexisting cognitive impairment)	NAME: Surveillance - Assess for precipitating factors for delirium (physical restraints, malnutrition, addition of three or more medications on the previous day, use of an indwelling catheter, and any iatrogenic event)	NAME: Surveillance - Anticipate basic needs such as feeding, toileting, and hydration	NAME: Surveillance - Anticipate pain-producing conditions
NAME: Surveillance - Identify, evaluate and treat pain quickly	NAME: Education - Explore patient's knowledge and beliefs about pain. Consider cultural influences on pain response	NAME: Education - Discuss patient's fears of under treated pain, overdose and addiction.	NAME: Treatments/procedures - Attempt to keep pain level no higher than acceptable level stated by patient and preferably much lower	NAME: Treatments/procedures - Provide prompt analgesic care before the pain becomes severe	NAME: Treatments/procedures - Administer analgesics using the least invasive route available	NAME: Treatments/procedures - Avoid IM route when possible	NAME: Treatments/procedures - Provide PCA and intraspinal routs of administration when appropriate and ordered
NAME: Treatments/procedures - Utilize non pharmacologic approaches of patient's choice to help decrease pain e.g. music, humor, relaxation/meditation techniques, massage, heat, cold etc	NAME: Surveillance - Perform a comprehensive assessment of pain to include location, characteristics, onset/duration, frequency quality, intensity or severity and precipitating factors when the patient is admitted to the facility or when the pain newly occurs	NAME: Surveillance - Monitor for nonverbal signs of discomfort in patients unable to report pain or use a pain rating scale for any reason	NAME: Surveillance - Question patient regarding pain at frequent intervals and when taking VS	NAME: Surveillance - Clarify location and severity of pain each time pain is assessed	NAME: Surveillance - Assume that pain is present and treat accordingly when patient has a pathological condition (e.g. fractures) or who is undergoing a procedure thought to be painful	NAME: Surveillance - Evaluate appropriateness and dosage of medications given for pain and provide feedback to provider when they are not adequate.	NAME: Surveillance - Assess sedation and respiratory status frequently in opioid-nave patients
NAME: Surveillance - Question patient about sleep disruption	NAME: Treatments/procedures - Provide prompt analgesic care before the pain becomes severe	NAME: Treatments/procedures - Use round the clock medication administration when pain is present most of the day	NAME: Surveillance - Perform a comprehensive assessment of pain to include location, characteristics, onset/duration, frequency quality, intensity or severity and precipitating factors when patient is admitted to facility	NAME: Surveillance - Attempt to keep pain level no higher than acceptable level stated by patient and preferably much lower	NAME: Surveillance - Ask patient to describe approaches/treatments that work best for patient to relieve the chronic pain.	NAME: Surveillance - Question the patient about impact of chronic pain on patient's life	NAME: Surveillance - Watch for signs of depression such as sleeplessness, not eating, flat affect statements of depression, or suicidal ideation.
NAME: Surveillance - Explore patient's knowledge and beliefs about pain. Consider cultural influences on pain response	NAME: Surveillance - Discuss fears of addition and the terms addiction, dependence, tolerance, and pseudo-addiction with the patient	NAME: Education - Assess patient's attitudes about PCA	NAME: Education - Instruct family members/caregivers not to administer doses for the patient unless specifically authorized and instructed.	NAME: Education - Educate patient on how to administer a dose, potential side effects of the analgesic, safety mechanisms, low risk of addiction	NAME: Education - Educate on the importance on staying on top of pain and not waiting until pain is overwhelming before administering a dose of pain medication	NAME: Treatments/procedures - Double check programming of pump using a second person	NAME: Surveillance - Assess for adequacy of analgesia and patient's satisfaction with PCA
NAME: Surveillance - With opioid PCA, assess risk factors for respiratory depression and monitor sedation level and respiratory rate every 1 to 2 hours for the first 12 to 24 hours of PCA therapy	NAME: Surveillance - Monitor respiratory rate, depth, and rhythm with serial sedation assessments.	NAME: Surveillance - Monitor oxygen saturation if patient has increased risk of reparatory depression	NAME: Surveillance - Assess for potential technical complications (e.g. catheter site and delivery system)	NAME: Treatments/procedures - Administer medications to decrease anxiety, agitation, or psychosis and to stabilize mood as appropriate	NAME: Treatments/procedures - Place the patient in a more protective environment if self-harmful impulses/behavior escalate	NAME: Treatments/procedures - Provide follow-up care after an incident of self-harm	NAME: Surveillance - Assess patient for history of self-injury behaviors, including methods used and known triggers
NAME: Surveillance - Determine if the patient has the available means to follow through with a suicide plan	NAME: Case Management - Refer patient to a mental health care provider for evaluation and treatment of suicidal ideation and behavior as needed	NAME: Education - Reassure patient that depression and fatigue commonly occur during withdrawal	NAME: Treatments/procedures - Use the Revised Clinical Institute Withdrawal Assessment for Alcohol Scale (CIWA-AR) to rate acute alcohol withdrawal	NAME: Treatments/procedures - Administer anticonvulsants or sedatives when ordered	NAME: Treatments/procedures - Create a low stimulation environment	NAME: Treatments/procedures - Maintain adequate nutrition and fluid intake	NAME: Treatments/procedures - Administer vitamin therapy as appropriate
NAME: Surveillance - Monitor VS during withdrawal	NAME: Surveillance - Monitor for delirium tremens (DT's)	NAME: Education - Educate on the health effects of substance use, including the physical, emotional and cognitive effects of ongoing substance use and the risks of exposure to HIV, hepatitis, and other infections	NAME: Education - Educate about community resources and treatment centers for the patient and his/her family	NAME: Education - Educate on the signs and symptoms of substance abuse, relapse, and treatment	NAME: Education - Educate on the use of non-pharmacological supportive measures to decrease pain and anxiety, including deep breathing, relaxation, music therapy, and aromatherapy	NAME: Education - Determine history of substance use	NAME: Education - Discuss with the patient the role that drugs play in his or her life
NAME: Treatments/procedures - Provide symptom management during the detoxification period	NAME: Treatments/procedures - Provide adequate nutrition	NAME: Treatments/procedures - Provide an environment with decreased stimulation	NAME: Treatments/procedures - Provide pharmacological interventions for sleep as ordered	NAME: Surveillance - Monitor for contraband (non prescribed drugs) brought in by visitors	NAME: Surveillance - Monitor patient for nausea, vomiting and diarrhea, hydration and urinary output, and hypertension and tachycardia	NAME: Surveillance - Monitor patient for seizures (initiate seizure precautions as appropriate)	NAME: Surveillance - Monitor patient for adequate sleep and provide education about sleep hygiene
NAME: Surveillance - Monitor patient for mental status changes, paranoia and hesitancy to trust others, and depression and/or suicidal tendencies	NAME: Surveillance - Monitor patient for body image distortions and anorexia	NAME: Surveillance - Monitor patient for withdrawal symptoms using withdrawal scales for objectivity	NAME: Surveillance - Assess for fall risk and initiate appropriate fall precautions	NAME: Surveillance - Assess for skin integrity related to substance use and nutritional status	NAME: Education - Encourage the identification of thoughts and feelings via talking, journaling, or other modes of expression	NAME: Education - Identify and encourage the use of social supports	NAME: Education - Encourage physical activity and well-being
NAME: Education - Actively listen to the patient and provide validation	NAME: Education - Teach mindfulness techniques	NAME: Education - Educate on smoking	NAME: Education - Educate on pulmonary rehabilitation/exercise training	NAME: Education - Educate on secretion clearance strategies	NAME: Education - Educate on breathing retraining strategies	NAME: Education - Educate on energy conserving strategies	NAME: Education - Educate on relaxation techniques
NAME: Education - Educate on nutritional strategies	NAME: Education - Educate on rationale for oxygen therapy	NAME: Education - Educate on rationale for medications	NAME: Education - Educate on inhaler device techniques	NAME: Education - Educate on awareness of baseline symptoms and activity level	NAME: Education - Educate on recognition of factors that worsen symptoms	NAME: Education - Educate on early symptom recognition of acute exacerbation and infection	NAME: Education - Educate on End-of-life issues
NAME: Education - Promote exercise training	NAME: Education - Promote pulmonary rehabilitation	NAME: Education - Institute smoking cessation strategies	NAME: Education - Teach patient to use pursed-lip breathing	NAME: Treatments/procedures - Ensure access to fresh air or use a fan directing cold air on the face	NAME: Treatments/procedures - Use noninvasive positive-pressure ventilation and continuous positive airway pressure (CPAP, BiPAP) as ordered.	NAME: Treatments/procedures - Support the patient to assume the position of choice, including the forward leaning position with arm support	NAME: Treatments/procedures - Use humidified low-flow oxygen at various levels at rest and with exercise depending on individual perception of relief of dyspnea
NAME: Treatments/procedures - Provide controlled oxygen therapy as ordered	NAME: Surveillance - Acknowledge and accept patient's self report of dyspnea	NAME: Surveillance - Assess patient regularly- include level of dyspnea, VS, pulse ox, chest auscultation, chest wall movement, shape & abnormalities, periph edema, accessory muscle use, presence of cough and/or sputum, ability to complete a full sentence, level of consciousness	NAME: Surveillance - Assess for hypoxemia/hypoxia and administer appropriate oxygen therapy for all levels of dyspnea	NAME: Surveillance - Remain with patient during episodes of acute respiratory distress	NAME: Education - Assess patient's knowledge and skill and identify gaps	NAME: Education - Educate on facts about asthma	NAME: Education - Educate on device techniques
NAME: Education - Educate on self-monitoring	NAME: Education - Educate on smoking cessation if applicable	NAME: Surveillance - Assess patient's level of control	NAME: Surveillance - Provide ongoing assessment of patient's respiratory status	NAME: Surveillance - Assess inhaler/device technique to ensure accurate use	NAME: Education - Provide patient/family/support member education: tubing as tripping hazard, effects of IV Medications	NAME: Treatments/procedures - Use specialty bed - Lateral rotation	NAME: Treatments/procedures - Use specialty bed - Low air loss
NAME: Treatments/procedures - Use specialty bed - Multi-zone surface	NAME: Treatments/procedures - Use specialty bed - Open cell foam	NAME: Treatments/procedures - Use specialty bed - Pad	NAME: Treatments/procedures - Use specialty bed - Solid	NAME: Treatments/procedures - Use specialty bed - Vicolastic foam	NAME: Treatments/procedures - Use specialty bed - Viscous fluid	NAME: Treatments/procedures - Use specialty bed - Water	NAME: Treatments/procedures - Use specialty bed - Zone
NAME: Education - Provide verbal reminders to patient to call when needing assistance	NAME: Education - Explain procedures to patient and family and discuss with them possible alternatives	NAME: Treatments/procedures - Use petroleum jelly gauze for dressing change	NAME: Treatments/Procedures Other 2 MUSC Environemt of Care Precauions	NAME: Surveillance - Monitor for signs and symptoms of pneumothorax	NAME: Surveillance - Ensure that all tubing connections are securely attached and taped	NAME: Surveillance - Keep the drainage container below chest level	NAME: Surveillance - Anchor the tubing securely
NAME: Surveillance - Observe for signs of infection	NAME: Surveillance - Apply suction to the water-seal when ordered	NAME: Surveillance - Monitor for bubbling of the suction chamber of the chest tube drainage system and tidaling in the water-seal chamber	NAME: Surveillance - Monitor chest tube output	NAME: Surveillance - Monitor the patency of the chest tube by stripping and milking the tube	NAME: Surveillance - Monitor for crepitus around the chest tube site	NAME: Surveillance - Maintain the chest tube system to water seal if not to suction	NAME: Surveillance - Monitor and administer pain management therapy upon chest tube removal
NAME: Treatments/procedures - Provide adequate fluid intake and nourishment	NAME: Treatments/procedures - Exercises to maintain range of motion	NAME: Treatments/procedures - Keep call light and most frequently used personal items within reach	NAME: Education - Provide educational materials	NAME: Surveillance - Make sure restraint is applied properly and in comfortable position	NAME: Surveillance - Check with patient frequently to ascertain needs	NAME: Treatments/procedures - Elevate heels using ankle foot orthotic	NAME: Surveillance - Toilet patient per schedule and request
NAME: Education - Educate on treatment options, medications, and measures to decrease risk of reoccurence of the abnormal cardiac rythms	NAME: Treatments/procedures - Maintain clean and dry skin	NAME: Education - Educate on when to notify nurse (first sign of any problems breathing, chest pain, intractable fatigue)	NAME: Treatments/procedures - Apply fecal collector (especially if skin breakdown)	NAME: Treatments/procedures - Apply protective barrier ointment	NAME: Treatments/procedures - Offer urinal at scheduled intervals (especially for bed-bound patient)	NAME: Treatments/procedures - Offer bedpan at scheduled intervals (especially for bed-bound patient)	NAME: Treatments/procedures - Encourage activity as tolerated
NAME: Treatments/procedures - Perform ROM exercises when turning and repositioning	NAME: Treatments/procedures - Limit sitting out of bed to < 2 hours at a time	NAME: Treatments/procedures - Establish toileting schedule	NAME: Treatments/procedures - Instruct to request assistance as needed for toileting	NAME: Treatments/procedures - Encourage small, frequent position changes	NAME: Treatments/procedures - Use wheelchair cushion while in wheelchair	NAME: Treatments/procedures - Encourage eating and assist with meals	NAME: Treatments/procedures - Monitor food and fluid intake
NAME: Treatments/procedures - Offer liquids Q2H when turning patient	NAME: Treatments/procedures - Provide tray set up and other assistance as needed	NAME: Treatments/procedures - Provide and encourage oral care as needed	NAME: Treatments/procedures - Use a bed trapeze or pull sheet to sit up in bed or turn	NAME: Treatments/procedures - Keep HOB at or below 30 degrees when not eating	NAME: Treatments/procedures - Raise HOB for meals, lowering within 1 hour after eating unless contraindicated	NAME: Treatments/procedures - Raise the knee when elevating HOB	NAME: Treatments/procedures - Apply dressings as ordered
NAME: Treatments/procedures - Provide wound care as ordered	NAME: Case Management - Consider referral to occupational therapy fortraing re dressing/grooming techniques	NAME: Treatments/procedures - Provide assiatnce with ambulation as needed	NAME: Education - Importance of good foot care and elements of good foot care	NAME: Education - Observations that should be reported to provider	NAME: Treatments/procedures - Cleanse feet in warm, soapy water and dry carefully, especially between the toes. After drying apply lotion as needed.	NAME: Surveillance - Inspect the skin for irritation, cracking, lesion, corns, calluses, deformities or edema and for proper footwear	NAME: Education - Use music to reduce anxiety
NAME: Education - Use guided imagery to reduce anxiety	NAME: Education - Encourage meditation to reduce anxiety	NAME: Education - Encourage programmed relaxation including breathing techniques and progressive muscle relaxation training to reduce anxiety	NAME: Education - Encourage physical exercise to reduce anxiety and sensitivity to stress	NAME: Education - Provide opportunity for patient to talk about feelings	NAME: Education - Educate on appropriate methods of expressing anger to others (e.g. assertiveness and use of feelings statements)	NAME: Education - Educate on the use of calming measures (e.g. time outs and deep breathing)	NAME: Education - Instruct visitors and other caregivers about relevant patient safety issues.
NAME: Treatments/procedures - Remove potential weapons from the environment (e.g. sharps and ropelike objects)	NAME: Treatments/procedures - Search the environment routinely to maintain it as hazard free	NAME: Treatments/procedures - Search patient and belongings for weapons/potential weapons	NAME: Treatments/procedures - Monitor the safety of items being brought to the environment by visitors	NAME: Treatments/procedures - Use external controls (e.g. physical or manual restraint, time outs, and seclusion) as needed to calm patient when expressing anger in a maladaptive manner.	NAME: Surveillance - Monitor the potential for inappropriate aggression and intervene before its expression	NAME: Education - Discuss with patient differing perceptions regarding health issues between health care workers and patients	NAME: Education - Discuss personal and social health responsibilities with the patient
NAME: Education - Help the patient to explore the benefits of assuming more responsibility	NAME: Education - Encourage exercise to stimulate the release of endorphins	NAME: Education - Encourage family support	NAME: Education - Encourage involvement in a support group such such as Narcotics Anonymous	NAME: Education - Assist patient with identifying negative consequences to health and other life areas	NAME: Education - Assist patient with identifying triggers that cause him or her to use and to develop strategies to avoid these situations by developing new routines and leisure activities	NAME: Education - Assist patient with identifying other means of relieving frustrations and increasing self-esteem	NAME: Education - Assist patient with the use of support systems
NAME: Education - Assist patient with recognizing that drugs provide a sense of assertiveness, heightened self-esteem, and frustration tolerance	NAME: Education - Assist patient with identifying the level of motivation needed to make a change	NAME: Treatments/procedures - Use hip protectors to prevent hip fractures	NAME: Case Management - Refer to Rehabilitation Therapy for further evaluation	NAME: Case Management - Implement any recommendations of Rehabilitation Therapy	NAME: Case Management - Refer to Nursing Restorative Therapy for further evaluation	NAME: Education - Provide patient/family/support member education, tubing as tripping hazard, effects of IV Medications	NAME: Surveillance - Complete surveillance rounds every 15 minutes
NAME: Surveillance - Complete surveillance rounds every 30 minutes	NAME: Surveillance - Complete surveillance rounds every one hour	NAME: Surveillance - Complete surveillance rounds every two hours	NAME: Treatments/procedures - Remain with patient during toileting	NAME: Treatments/procedures - Provide bedside toileting devices(e.g. urinal, bedside commode)	NAME: Surveillance - Make certain ambulatory devices are in good repair	NAME: Surveillance - Assess patient's proper use of devices and educate regarding safe use	NAME: Case Management - Refer to Rehabilitation Therapy to assess for proper device
NAME: Surveillance - Determine if patient is safe to have access to his/her ambulatory aide at all times	NAME: Education - Re-educate/reminders regarding safety	NAME: Surveillance - Move closer to Nurses' Station	NAME: Treatments/procedures - Provide clocks and calendars	NAME: Surveillance - Use a wandering monitoring device	NAME: Treatments/procedures - Arrange for diversional activities	NAME: Surveillance - Observe every one hour	NAME: Education - Reinforce need for assisted/supervised transfers
NAME: Surveillance - Evaluate for orthostasis	NAME: Education - Causes and prevention of pressure ulcers	NAME: Education - Treatment plan for pressure ulcers	NAME: Education - Importance of changing position frequently for pressure ulcer prevention	NAME: Treatments/procedures - Use specialty bed - Dynamic alternating pressure	NAME: Treatments/procedures - Use specialty bed - Dynamic fluidized therapy	NAME: Treatments/procedures - Use specialty bed - Dynamic low air loss	NAME: Treatments/procedures - Use specialty bed - Dynamic percussion
NAME: Treatments/procedures - Use specialty bed - Static air bladder	NAME: Treatments/procedures - Use specialty bed - Static combination	NAME: Treatments/procedures - Use specialty bed - Static gel	NAME: Treatments/procedures - Use specialty bed - Static water	NAME: Treatments/procedures - Turn and reposition every 2 hours while in bed, using pillows to separate pressure areas	NAME: Treatments/procedures - Elevate heels using foam/air heel elevator	NAME: Treatments/procedures - Elevate heels using heel pillow	NAME: Treatments/procedures - Apply elbow pads
NAME: Treatments/procedures - Use condom catheter	NAME: Treatments/procedures - Offer ordered supplements	NAME: Education - Rationale for use of restraints	NAME: Education - Desired behavior necessary for release of restraint(s)	NAME: Treatments/procedures - Address hygiene/elimination needs every 2 hours while awake	NAME: Treatments/procedures - Offer food/fluid every 2 hours while awake	NAME: Treatments/procedures - Assess patient comfort every 2 hours while awake	NAME: Treatments/procedures - Provide range of motion or exercize every 2 hours while awake
NAME: Surveillance - Assess skin condition/circulation every 2 hours	NAME: Surveillance - Perform safety checks every 15 minutes	NAME: Surveillance - Perform safety checks every 30 minutes	NAME: Surveillance - Perform safety checks every hour	NAME: Surveillance - 1:1 monitoring	NAME: Surveillance - Monitor vital signs as appropriate	NAME: Surveillance - Assess skin condition/circulation every 15 minutes	NAME: Surveillance - Assess skin condition/circulation every 30 minutes
NAME: Surveillance - Assess skin condition/circulation every hour	NAME: Surveillance - Assess readiness for removing restraints every 2 hours	NAME: Surveillance - Assess psychological well being every 2 hours	NAME: Surveillance - Provide ongoing assessment for appropriateness of trial out of seclusion	NAME: Other 1	NAME: Other 2	NAME: Other Outcome 1	NAME: Other Outcome 2
NAME: Education - Educate on techniques for prevention of diarrheal illnesses using hygiene principles and safe food handling practices and dietary recommendations	NAME: Education - Educate on etiology, bowel mangement procedures and expected outcomese	NAME: Education - Educate on methods for reducing mental stress such as guided imagery and relaxation	NAME: Treatments/procedures - Utilize non pharmacologic approaches of patient's choice to help decrease pain e.g. music, humor, relaxation/medication techniques, massage, heat, cold, etc.	NAME: Surveillance - Monitor for noverbal signs of discomfort in patients unable to report pain or use a pain rating scale for any reason	NAME: Education - Provide information about what community resources and outreach programs are available	NAME: Education - Educate on smoking cessation strategies	NAME: Education - Instruct patient to immediately report any problems that arise with breathing
NAME: Education - Educate on roles/rationale for medications	NAME: Education - Determine readiness to learn about smoking cessation	NAME: Education - Provide clear consistent advice to quit smoking	NAME: Education - Educate regarding dangers linking oxygen and smoking to fire potential	NAME: Education - Support nicotine replacement therapy if ordered	NAME: Treatments/procedures - Use specialty bed - Air	NAME: Treatments/procedures - Use specialty bed - Air fluidized	NAME: Treatments/procedures - Use specialty bed - Alternating pressure
NAME: Treatments/procedures - Use specialty bed - Cell/bladder	NAME: Treatments/procedures - Use specialty bed - Closed cell foam	NAME: Treatments/procedures - Use specialty bed - Elastic foam	NAME: Treatments/procedures - Use specialty bed - Elastomer	NAME: Treatments/procedures - Use specialty bed - Gel	NAME: Education - Educate on medication management: how to administer insulin(when appropriate) and potential mediation interaction	NAME: Surveillance - Assess for anxiety and depression and family/social support systems	NAME: Education - Attempt reduction or removal of restraint
NAME: Treatments/Procedures - Speak to the patient calmly and with respect	NAME: Treatments/Procedures - Offer the patient food or drink	NAME: Treatments/Procedures - Listen to the patient's concerns and try to understand them	NAME: Treatments/Procedures - Ask what is bothering the patient or making him/her agitated	NAME: Treatments/Procedures - Direct the patient's attention away from what is causing him/her stress	NAME: Surveillance - Check restraints every 30 minutes, release every two hours for 10 minutes and document	NAME: Education - Explain why a feeding tube is used and when it will be removed	NAME: Education - Explain why an IV tube is used and when it will be removed
NAME: Education - Explain behavior needed for removal of restraints	NAME: Treatments/Procedures - Put patient in a time-out. Unlocked room for 30 minutes or less.	NAME: Treatments/Procedures - The caregiver who ordered the restraints will examine the patient	NAME: Surveillance - Patient alert and oriented to person, place, and time	NAME: Surveillance - Patient no longer combative	NAME: Surveillance - Patient able to consistently comply with medical treatment	NAME: Surveillance - Patient no longer pulling at tubes/dressings/medical devices	NAME: Surveillance - Patient no longer sedated
NAME: Treatments/Procedures - Ask patient with dementia what his/her needs are, such as food or drink	NAME: Treatments/Procedures - Provide a calm environment to help prevent agitation in patients with dementia	NAME: Treatments/Procedures - Lower noise levels	NAME: Treatments/Procedures - Provide music or massage	NAME: Treatments/Procedures - Allow patients to keep familiar items such as photos of loved ones	NAME: Surveillance - Monitor physical and emotional well being of the patient	NAME: Surveillance - Patient's rights, dignity, and safety are maintained	NAME: Surveillance - Determine when less restrictive methods are possible
NAME: Surveillance - Check that restraint has been appropriately applied, removed, or reapplied	NAME: Treatments/Procedures - Provide adequate fluid intake and nourishment	NAME: Treatments/procedures - Establish a plan for the treatment of hyperglycemia	NAME: Education Other 1 GI Nausea - oncology patients (Actual/potential)	NAME: Education Other 2 GI Nausea - oncology patients (Actual/potential)	NAME: Treatments/Procedures Other 1 GI Nausea - oncology patients (Actual/potential)	NAME: Treatments/Procedures Other 2 GI Nausea - oncology patients (Actual/potential)	NAME: Surveillance Other 1 GI Nausea - oncology patients (Actual/potential)
NAME: Surveillance Other 2 GI Nausea - oncology patients (Actual/potential)	NAME: Case Management Other 1 GI Nausea - oncology patients (Actual/potential)	NAME: Case Management Other 2 GI Nausea - oncology patients (Actual/potential)	NAME: Other GI Nausea - oncology patients (Actual/potential)	NAME: Education Other 1 CV Deep Vein Thrombosis (DVT) (Potential)	NAME: Education Other 2 CV Deep Vein Thrombosis (DVT) (Potential)	NAME: Treatments/Procedures Other 1 CV Deep Vein Thrombosis (DVT) (Potential)	NAME: Treatments/Procedures Other 2 CV Deep Vein Thrombosis (DVT) (Potential)
NAME: Surveillance Other 1 CV Deep Vein Thrombosis (DVT) (Potential)	NAME: Surveillance Other 2 CV Deep Vein Thrombosis (DVT) (Potential)	NAME: Case Management Other 1 CV Deep Vein Thrombosis (DVT) (Potential)	NAME: Case Management Other 2 CV Deep Vein Thrombosis (DVT) (Potential)	NAME: Other CV Deep Vein Thrombosis (DVT) (Potential)	NAME: Education Other 1 CV Deep Vein Thrombosis (DVT) (Actual)	NAME: Education Other 2 CV Deep Vein Thrombosis (DVT) (Actual)	NAME: Treatments/Procedures Other 1 CV Deep Vein Thrombosis (DVT) (Actual)
NAME: Treatments/Procedures Other 2 CV Deep Vein Thrombosis (DVT) (Actual)	NAME: Surveillance Other 1 CV Deep Vein Thrombosis (DVT) (Actual)	NAME: Surveillance Other 2 CV Deep Vein Thrombosis (DVT) (Actual)	NAME: Case Management Other 1 CV Deep Vein Thrombosis (DVT) (Actual)	NAME: Case Management Other 2 CV Deep Vein Thrombosis (DVT) (Actual)	NAME: Other CV Deep Vein Thrombosis (DVT) (Actual)	NAME: Education Other 1 CV Congestive Heart Failure (Actual)	NAME: Education Other 2 CV Congestive Heart Failure (Actual)
NAME: Treatments/Procedures Other 1 CV Congestive Heart Failure (Actual)	NAME: Treatments/Procedures Other 2 CV Congestive Heart Failure (Actual)	NAME: Surveillance Other 1 CV Congestive Heart Failure (Actual)	NAME: Surveillance Other 2 CV Congestive Heart Failure (Actual)	NAME: Case Management Other 1 CV Congestive Heart Failure (Actual)	NAME: Case Management Other 2 CV Congestive Heart Failure (Actual)	NAME: Other CV Congestive Heart Failure (Actual)	NAME: Education Other 1 CV Acute Coronary Syndrome (Acute MI) (Actual)
NAME: Education Other 2 CV Acute Coronary Syndrome (Acute MI) (Actual)	NAME: Treatments/Procedures Other 1 CV Acute Coronary Syndrome (Acute MI) (Actual)	NAME: Treatments/Procedures Other 2 CV Acute Coronary Syndrome (Acute MI) (Actual)	NAME: Surveillance Other 1 CV Acute Coronary Syndrome (Acute MI) (Actual)	NAME: Surveillance Other 2 CV Acute Coronary Syndrome (Acute MI) (Actual)	NAME: Case Management Other 1 CV Acute Coronary Syndrome (Acute MI) (Actual)	NAME: Case Management Other 2 CV Acute Coronary Syndrome (Acute MI) (Actual)	NAME: Other CV Acute Coronary Syndrome (Acute MI) (Actual)
NAME: Education Other 1 CV Abnormal Cardiac Rhythms (Actual/Potential)	NAME: Education Other 2 CV Abnormal Cardiac Rhythms (Actual/Potential)	NAME: Treatments/Procedures Other 1 CV Abnormal Cardiac Rhythms (Actual/Potential)	NAME: Treatments/Procedures Other 2 CV Abnormal Cardiac Rhythms (Actual/Potential)	NAME: Surveillance Other 1 CV Abnormal Cardiac Rhythms (Actual/Potential)	NAME: Surveillance Other 2 CV Abnormal Cardiac Rhythms (Actual/Potential)	NAME: Case Management Other 1 CV Abnormal Cardiac Rhythms (Actual/Potential)	NAME: Case Management Other 2 CV Abnormal Cardiac Rhythms (Actual/Potential)
NAME: Other CV Abnormal Cardiac Rhythms (Actual/Potential)	NAME: Education Other 1 CV Peripheral Vascular Disease (PVD) (Actual)	NAME: Education Other 2 CV Peripheral Vascular Disease (PVD) (Actual)	NAME: Treatments/Procedures Other 1 CV Peripheral Vascular Disease (PVD) (Actual)	NAME: Treatments/Procedures Other 2 CV Peripheral Vascular Disease (PVD) (Actual)	NAME: Surveillance Other 1 CV Peripheral Vascular Disease (PVD) (Actual)	NAME: Surveillance Other 2 CV Peripheral Vascular Disease (PVD) (Actual)	NAME: Case Management Other 1 CV Peripheral Vascular Disease (PVD) (Actual)
NAME: Case Management Other 2 CV Peripheral Vascular Disease (PVD) (Actual)	NAME: Other CV Peripheral Vascular Disease (PVD) (Actual)	NAME: Education Other 1 CV Chronic Venous Insufficiency (CVI)	NAME: Education Other 2 CV Chronic Venous Insufficiency (CVI)	NAME: Treatments/Procedures Other 1 CV Chronic Venous Insufficiency (CVI)	NAME: Treatments/Procedures Other 2 CV Chronic Venous Insufficiency (CVI)	NAME: Surveillance Other 1 CV Chronic Venous Insufficiency (CVI)	NAME: Surveillance Other 2 CV Chronic Venous Insufficiency (CVI)
NAME: Case Management Other 1 CV Chronic Venous Insufficiency (CVI)	NAME: Case Management Other 2 CV Chronic Venous Insufficiency (CVI)	NAME: Other CV Chronic Venous Insufficiency (CVI)	NAME: Education Other 1 EDUC Hearing deficit (Actual)	NAME: Education Other 2 EDUC Hearing deficit (Actual)	NAME: Treatments/Procedures Other 1 EDUC Hearing deficit (Actual)	NAME: Treatments/Procedures Other 2 EDUC Hearing deficit (Actual)	NAME: Surveillance Other 1 EDUC Hearing deficit (Actual)
NAME: Surveillance Other 2 EDUC Hearing deficit (Actual)	NAME: Case Management Other 1 EDUC Hearing deficit (Actual)	NAME: Case Management Other 2 EDUC Hearing deficit (Actual)	NAME: Other EDUC Hearing deficit (Actual)	NAME: Education Other 1 EDUC Visual deficit (Actual)	NAME: Education Other 2 EDUC Visual deficit (Actual)	NAME: Treatments/Procedures Other 1 EDUC Visual deficit (Actual)	NAME: Treatments/Procedures Other 2 EDUC Visual deficit (Actual)
NAME: Surveillance Other 1 EDUC Visual deficit (Actual)	NAME: Surveillance Other 2 EDUC Visual deficit (Actual)	NAME: Case Management Other 1 EDUC Visual deficit (Actual)	NAME: Case Management Other 2 EDUC Visual deficit (Actual)	NAME: Other EDUC Visual deficit (Actual)	NAME: Education Other 1 EDUC Speech deficit (Actual)	NAME: Education Other 2 EDUC Speech deficit (Actual)	NAME: Treatments/Procedures Other 1 EDUC Speech deficit (Actual)
NAME: Treatments/Procedures Other 2 EDUC Speech deficit (Actual)	NAME: Surveillance Other 1 EDUC Speech deficit (Actual)	NAME: Surveillance Other 2 EDUC Speech deficit (Actual)	NAME: Case Management Other 1 EDUC Speech deficit (Actual)	NAME: Case Management Other 2 EDUC Speech deficit (Actual)	NAME: Other EDUC Speech deficit (Actual)	NAME: Education Other 1 EDUC Cognitive impairment (Actual)	NAME: Education Other 2 EDUC Cognitive impairment (Actual)
NAME: Treatments/Procedures Other 1 EDUC Cognitive impairment (Actual)	NAME: Treatments/Procedures Other 2 EDUC Cognitive impairment (Actual)	NAME: Surveillance Other 1 EDUC Cognitive impairment (Actual)	NAME: Surveillance Other 2 EDUC Cognitive impairment (Actual)	NAME: Case Management Other 1 EDUC Cognitive impairment (Actual)	NAME: Case Management Other 2 EDUC Cognitive impairment (Actual)	NAME: Other EDUC Cognitive impairment (Actual)	NAME: Education Other 1 FUNC Assistance with activities of daily living - bathing and hygiene
NAME: Education Other 2 FUNC Assistance with activities of daily living - bathing and hygiene	NAME: Treatments/Procedures Other 1 FUNC Assistance with activities of daily living - bathing and hygiene	NAME: Treatments/Procedures Other 2 FUNC Assistance with activities of daily living - bathing and hygiene	NAME: Surveillance Other 1 FUNC Assistance with activities of daily living - bathing and hygiene	NAME: Surveillance Other 2 FUNC Assistance with activities of daily living - bathing and hygiene	NAME: Case Management Other 1 FUNC Assistance with activities of daily living - bathing and hygiene	NAME: Case Management Other 2 FUNC Assistance with activities of daily living - bathing and hygiene	NAME: Other FUNC Assistance with activities of daily living - bathing and hygiene
NAME: Education Other 1 FUNC Assistance with activities of daily living - dressing assistance	NAME: Education Other 2 FUNC Assistance with activities of daily living - dressing assistance	NAME: Treatments/Procedures Other 1 FUNC Assistance with activities of daily living - dressing assistance	NAME: Treatments/Procedures Other 2 FUNC Assistance with activities of daily living - dressing assistance	NAME: Surveillance Other 1 FUNC Assistance with activities of daily living - dressing assistance	NAME: Surveillance Other 2 FUNC Assistance with activities of daily living - dressing assistance	NAME: Case Management Other 1 FUNC Assistance with activities of daily living - dressing assistance	NAME: Case Management Other 2 FUNC Assistance with activities of daily living - dressing assistance
NAME: Other FUNC Assistance with activities of daily living - dressing assistance	NAME: Education Other 1 FUNC Assistance with activities of daily living - eating assistance	NAME: Education Other 2 FUNC Assistance with activities of daily living - eating assistance	NAME: Treatments/Procedures Other 1 FUNC Assistance with activities of daily living - eating assistance	NAME: Treatments/Procedures Other 2 FUNC Assistance with activities of daily living - eating assistance	NAME: Surveillance Other 1 FUNC Assistance with activities of daily living - eating assistance	NAME: Surveillance Other 2 FUNC Assistance with activities of daily living - eating assistance	NAME: Case Management Other 1 FUNC Assistance with activities of daily living - eating assistance
NAME: Case Management Other 2 FUNC Assistance with activities of daily living - eating assistance	NAME: Other FUNC Assistance with activities of daily living - eating assistance	NAME: Education Other 1 FUNC Assistance with activities of daily living - ambulation	NAME: Education Other 2 FUNC Assistance with activities of daily living - ambulation	NAME: Treatments/Procedures Other 1 FUNC Assistance with activities of daily living - ambulation	NAME: Treatments/Procedures Other 2 FUNC Assistance with activities of daily living - ambulation	NAME: Surveillance Other 1 FUNC Assistance with activities of daily living - ambulation	NAME: Surveillance Other 2 FUNC Assistance with activities of daily living - ambulation
NAME: Case Management Other 1 FUNC Assistance with activities of daily living - ambulation	NAME: Case Management Other 2 FUNC Assistance with activities of daily living - ambulation	NAME: Other FUNC Assistance with activities of daily living - ambulation	NAME: Education Other 1 GI Bowel training (Actual)	NAME: Education Other 2 GI Bowel training (Actual)	NAME: Treatments/Procedures Other 1 GI Bowel training (Actual)	NAME: Treatments/Procedures Other 2 GI Bowel training (Actual)	NAME: Surveillance Other 1 GI Bowel training (Actual)
NAME: Surveillance Other 2 GI Bowel training (Actual)	NAME: Case Management Other 1 GI Bowel training (Actual)	NAME: Case Management Other 2 GI Bowel training (Actual)	NAME: Other GI Bowel training (Actual)	NAME: Education Other 1 GI Constipation (Actual/potential)	NAME: Education Other 2 GI Constipation (Actual/potential)	NAME: Treatments/Procedures Other 1 GI Constipation (Actual/potential)	NAME: Treatments/Procedures Other 2 GI Constipation (Actual/potential)
NAME: Surveillance Other 1 GI Constipation (Actual/potential)	NAME: Surveillance Other 2 GI Constipation (Actual/potential)	NAME: Case Management Other 1 GI Constipation (Actual/potential)	NAME: Case Management Other 2 GI Constipation (Actual/potential)	NAME: Other GI Constipation (Actual/potential)	NAME: Education Other 1 GI Diarrhea (Actual/potential)	NAME: Education Other 2 GI Diarrhea (Actual/potential)	NAME: Treatments/Procedures Other 1 GI Diarrhea (Actual/potential)
NAME: Treatments/Procedures Other 2 GI Diarrhea (Actual/potential)	NAME: Surveillance Other 1 GI Diarrhea (Actual/potential)	NAME: Surveillance Other 2 GI Diarrhea (Actual/potential)	NAME: Case Management Other 1 GI Diarrhea (Actual/potential)	NAME: Case Management Other 2 GI Diarrhea (Actual/potential)	NAME: Other GI Diarrhea (Actual/potential)	NAME: Education Other 1 GI Bowel incontinence (Actual/potential)	NAME: Education Other 2 GI Bowel incontinence (Actual/potential)
NAME: Treatments/Procedures Other 1 GI Bowel incontinence (Actual/potential)	NAME: Treatments/Procedures Other 2 GI Bowel incontinence (Actual/potential)	NAME: Surveillance Other 1 GI Bowel incontinence (Actual/potential)	NAME: Surveillance Other 2 GI Bowel incontinence (Actual/potential)	NAME: Case Management Other 1 GI Bowel incontinence (Actual/potential)	NAME: Case Management Other 2 GI Bowel incontinence (Actual/potential)	NAME: Other GI Bowel incontinence (Actual/potential)	NAME: Education Other 1 GI Aspiration risk (Potential)
NAME: Education Other 2 GI Aspiration risk (Potential)	NAME: Treatments/Procedures Other 1 GI Aspiration risk (Potential)	NAME: Treatments/Procedures Other 2 GI Aspiration risk (Potential)	NAME: Surveillance Other 1 GI Aspiration risk (Potential)	NAME: Surveillance Other 2 GI Aspiration risk (Potential)	NAME: Case Management Other 1 GI Aspiration risk (Potential)	NAME: Case Management Other 2 GI Aspiration risk (Potential)	NAME: Other GI Aspiration risk (Potential)
NAME: Education Other 1 GI Nausea and vomiting - post operative (Actual/potential)	NAME: Education Other 2 GI Nausea and vomiting - post operative (Actual/potential)	NAME: Treatments/Procedures Other 1 GI Nausea and vomiting - post operative (Actual/potential)	NAME: Treatments/Procedures Other 2 GI Nausea and vomiting - post operative (Actual/potential)	NAME: Surveillance Other 1 GI Nausea and vomiting - post operative (Actual/potential)	NAME: Surveillance Other 2 GI Nausea and vomiting - post operative (Actual/potential)	NAME: Case Management Other 1 GI Nausea and vomiting - post operative (Actual/potential)	NAME: Case Management Other 2 GI Nausea and vomiting - post operative (Actual/potential)
NAME: Other GI Nausea and vomiting - post operative (Actual/potential)	NAME: Education Other 1 GI Inadequate nutrition (Actual/Potential)	NAME: Education Other 2 GI Inadequate nutrition (Actual/Potential)	NAME: Treatments/Procedures Other 1 GI Inadequate nutrition (Actual/Potential)	NAME: Treatments/Procedures Other 2 GI Inadequate nutrition (Actual/Potential)	NAME: Surveillance Other 1 GI Inadequate nutrition (Actual/Potential)	NAME: Surveillance Other 2 GI Inadequate nutrition (Actual/Potential)	NAME: Case Management Other 1 GI Inadequate nutrition (Actual/Potential)
NAME: Case Management Other 2 GI Inadequate nutrition (Actual/Potential)	NAME: Other GI Inadequate nutrition (Actual/Potential)	NAME: Education Other 1 GI Tube feedings - GI feeding tube (Actual)	NAME: Education Other 2 GI Tube feedings - GI feeding tube (Actual)	NAME: Treatments/Procedures Other 1 GI Tube feedings - GI feeding tube (Actual)	NAME: Treatments/Procedures Other 2 GI Tube feedings - GI feeding tube (Actual)	NAME: Surveillance Other 1 GI Tube feedings - GI feeding tube (Actual)	NAME: Surveillance Other 2 GI Tube feedings - GI feeding tube (Actual)
NAME: Case Management Other 1 GI Tube feedings - GI feeding tube (Actual)	NAME: Case Management Other 2 GI Tube feedings - GI feeding tube (Actual)	NAME: Other GI Tube feedings - GI feeding tube (Actual)	NAME: Education Other 1 GI Tube feedings - Gastrostomy tube (Actual)	NAME: Education Other 2 GI Tube feedings - Gastrostomy tube (Actual)	NAME: Treatments/Procedures Other 1 GI Tube feedings - Gastrostomy tube (Actual)	NAME: Treatments/Procedures Other 2 GI Tube feedings - Gastrostomy tube (Actual)	NAME: Surveillance Other 1 GI Tube feedings - Gastrostomy tube (Actual)
NAME: Surveillance Other 2 GI Tube feedings - Gastrostomy tube (Actual)	NAME: Case Management Other 1 GI Tube feedings - Gastrostomy tube (Actual)	NAME: Case Management Other 2 GI Tube feedings - Gastrostomy tube (Actual)	NAME: Other GI Tube feedings - Gastrostomy tube (Actual)	NAME: Education Other 1 GI Fluid management (Actual/potential)	NAME: Education Other 2 GI Fluid management (Actual/potential)	NAME: Treatments/Procedures Other 1 GI Fluid management (Actual/potential)	NAME: Treatments/Procedures Other 2 GI Fluid management (Actual/potential)
NAME: Surveillance Other 1 GI Fluid management (Actual/potential)	NAME: Surveillance Other 2 GI Fluid management (Actual/potential)	NAME: Case Management Other 1 GI Fluid management (Actual/potential)	NAME: Case Management Other 2 GI Fluid management (Actual/potential)	NAME: Other GI Fluid management (Actual/potential)	NAME: Education Other 1 GU Urinary catheter care (Actual)	NAME: Education Other 2 GU Urinary catheter care (Actual)	NAME: Treatments/Procedures Other 1 GU Urinary catheter care (Actual)
NAME: Treatments/Procedures Other 2 GU Urinary catheter care (Actual)	NAME: Surveillance Other 1 GU Urinary catheter care (Actual)	NAME: Surveillance Other 2 GU Urinary catheter care (Actual)	NAME: Case Management Other 1 GU Urinary catheter care (Actual)	NAME: Case Management Other 2 GU Urinary catheter care (Actual)	NAME: Other GU Urinary catheter care (Actual)	NAME: Education Other 1 IV Blood/blood products administration (Actual)	NAME: Education Other 2 IV Blood/blood products administration (Actual)
NAME: Treatments/Procedures Other 1 IV Blood/blood products administration (Actual)	NAME: Treatments/Procedures Other 2 IV Blood/blood products administration (Actual)	NAME: Surveillance Other 1 IV Blood/blood products administration (Actual)	NAME: Surveillance Other 2 IV Blood/blood products administration (Actual)	NAME: Case Management Other 1 IV Blood/blood products administration (Actual)	NAME: Case Management Other 2 IV Blood/blood products administration (Actual)	NAME: Other IV Blood/blood products administration (Actual)	NAME: Education Other 1 IV Total parenteral nutrition (TPN) (Actual)
NAME: Education Other 2 IV Total parenteral nutrition (TPN) (Actual)	NAME: Treatments/Procedures Other 1 IV Total parenteral nutrition (TPN) (Actual)	NAME: Treatments/Procedures Other 2 IV Total parenteral nutrition (TPN) (Actual)	NAME: Surveillance Other 1 IV Total parenteral nutrition (TPN) (Actual)	NAME: Surveillance Other 2 IV Total parenteral nutrition (TPN) (Actual)	NAME: Case Management Other 1 IV Total parenteral nutrition (TPN) (Actual)	NAME: Case Management Other 2 IV Total parenteral nutrition (TPN) (Actual)	NAME: Other IV Total parenteral nutrition (TPN) (Actual)
NAME: Education Other 1 IV Venous access devices (VAD) (Actual)	NAME: Education Other 2 IV Venous access devices (VAD) (Actual)	NAME: Treatments/Procedures Other 1 IV Venous access devices (VAD) (Actual)	NAME: Treatments/Procedures Other 2 IV Venous access devices (VAD) (Actual)	NAME: Surveillance Other 1 IV Venous access devices (VAD) (Actual)	NAME: Surveillance Other 2 IV Venous access devices (VAD) (Actual)	NAME: Case Management Other 1 IV Venous access devices (VAD) (Actual)	NAME: Case Management Other 2 IV Venous access devices (VAD) (Actual)
NAME: Other IV Venous access devices (VAD) (Actual)	NAME: Education Other 1 IV Peripherally inserted central catheter (PICC)(Actual)	NAME: Education Other 2 IV Peripherally inserted central catheter (PICC)(Actual)	NAME: Treatments/Procedures Other 1 IV Peripherally inserted central catheter (PICC)(Actual)	NAME: Treatments/Procedures Other 2 IV Peripherally inserted central catheter (PICC)(Actual)	NAME: Surveillance Other 1 IV Peripherally inserted central catheter (PICC)(Actual)	NAME: Surveillance Other 2 IV Peripherally inserted central catheter (PICC)(Actual)	NAME: Case Management Other 1 IV Peripherally inserted central catheter (PICC)(Actual)
NAME: Case Management Other 2 IV Peripherally inserted central catheter (PICC)(Actual)	NAME: Other IV Peripherally inserted central catheter (PICC)(Actual)	NAME: Education Other 1 IV Dialysis Catheters (Actual)	NAME: Education Other 2 IV Dialysis Catheters (Actual)	NAME: Treatments/Procedures Other 1 IV Dialysis Catheters (Actual)	NAME: Treatments/Procedures Other 2 IV Dialysis Catheters (Actual)	NAME: Surveillance Other 1 IV Dialysis Catheters (Actual)	NAME: Surveillance Other 2 IV Dialysis Catheters (Actual)
NAME: Case Management Other 1 IV Dialysis Catheters (Actual)	NAME: Case Management Other 2 IV Dialysis Catheters (Actual)	NAME: Other IV Dialysis Catheters (Actual)	NAME: Education Other 1 GU Diabetes - newly diagnosed (Actual)	NAME: Education Other 2 GU Diabetes - newly diagnosed (Actual)	NAME: Treatments/Procedures Other 1 GU Diabetes - newly diagnosed (Actual)	NAME: Treatments/Procedures Other 2 GU Diabetes - newly diagnosed (Actual)	NAME: Surveillance Other 1 GU Diabetes - newly diagnosed (Actual)
NAME: Surveillance Other 2 GU Diabetes - newly diagnosed (Actual)	NAME: Case Management Other 1 GU Diabetes - newly diagnosed (Actual)	NAME: Case Management Other 2 GU Diabetes - newly diagnosed (Actual)	NAME: Other GU Diabetes - newly diagnosed (Actual)	NAME: Education Other 1 GU Diabetes - chronic (Actual)	NAME: Education Other 2 GU Diabetes - chronic (Actual)	NAME: Treatments/Procedures Other 1 GU Diabetes - chronic (Actual)	NAME: Treatments/Procedures Other 2 GU Diabetes - chronic (Actual)
NAME: Surveillance Other 1 GU Diabetes - chronic (Actual)	NAME: Surveillance Other 2 GU Diabetes - chronic (Actual)	NAME: Case Management Other 1 GU Diabetes - chronic (Actual)	NAME: Case Management Other 2 GU Diabetes - chronic (Actual)	NAME: Other GU Diabetes - chronic (Actual)	NAME: Education Other 1 GU Hemodialysis (Actual)	NAME: Education Other 2 GU Hemodialysis (Actual)	NAME: Treatments/Procedures Other 1 GU Hemodialysis (Actual)
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Package: Patient Assessment Documentation

Global: ^NUPA(1927.24

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Fields, Total: 4

Found Entries, Total: 1748