Summary Dorel McAlister DOB 01/02/ 1939

Patient Summary

MRPDr. Heart
Admit DateToday
Primary DiagnosisStage 2A Ovarian Cancer. Scheduled for a Total Hysterectomy and bilateral salpingo-oopherectomy
SECONDARY DIAGNOSES
Implanted Device
Blood ConsentYesBlood Type:O+
AggressionHistory of Violence:Physically Aggresive:
BehaviourVerbally Aggresive:Violence Prevention Toolkit:
Religion
OXYGENSUCTION
SURGERY Total Abdominal Hysterectomy and bilateral salpingo-oopherectomy
DRAIN
WOUNDAbdomen
IsolationCode Status:Link to MOST
Substance UseN/ALast Use:
Alcohol UseN/ALast Use:
Tabacco Dependence:N/ALast Use:
ALLERGIES Reaction type:Severity:
Reaction type:Severity:
Reaction type:Severity:
DIETAs per ERAS orders

Patient Monitoring

DIET
V S DAYTemp (F)PulseResp RateBPO2
I & O 
FOLEY DayNightDC date:
TUBES Type:Type:
IV Lines:Pain:Pain Level:
Collection:Intake:Output:
Pending Tests & Diagnostics:
Appointments:
Blood Glucose (Time/ Reading)

Similar Posts