How to document lung sounds

    • [DOC File]INITIAL COMPETENCY ASSESSMENT SKILLS …

      https://info.5y1.org/how-to-document-lung-sounds_1_6193d7.html

      a. Heart Sounds b. Lung Sounds c. Bowel Sounds ROM/GONIOMETRY a. Demonstration of using goniometer at selected joints b. Demonstration of checking functional ROM (recognizing pain limitations) c. Demonstrate assessment of end feel/joint integrity d. Verbalize contraindications for ROM testing

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      Lung Sounds Pulls up patient gown and listens against the skin Listens at ten sites anteriorly (5 on each side of chest wall) and eighteen sites posteriorly (9 on each side of back). Identifies the lung sounds: Clear breath sounds. Wheezes. Rhonchi. Crackles/Rales Document findings

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    • [DOCX File]Update _2_0_160

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      Comprehensive information on Creating Document Definitions can be found beginning on page 47 of the . TIU/ASU Implementation Guide. Link the dialogs to the appropriate progress note titles. From the Reminders Manager Menu: Select Reminder Managers Menu Option: CP . CPRS Reminder Configuration. CAAdd/Edit Reminder Categories CLCPRS Lookup Categories

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    • [DOCX File]LOS ANGELES COUNTY EMS AGENCY

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      Mid-lung fields – Are usually heard the loudest. Bases – The sounds are more vesicular (alveolar exchange) and quieter. Auscultate bilateral breath sounds for the presence and equality of bilateral breath sounds only: ** Instruct the patient to . take a . slow. deep breath - if responsive ** Listen at the level of the 5. th - 6. th

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    • [DOC File]OBSTETRIC NURSING CARE PLAN

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      Lung sounds are clear bilaterally. The trachea is midline, respirations are regular and symmetrical on room air, and there is no use of accessory muscles. S1 and S2 are present, rhythm is regular and there are no murmurs, clicks, thrills, or heaves. Radial, femoral, popliteal, pedal pulses are 2+ bilaterally and cap refill

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    • [DOC File]CARDIOVASCULAR SAMPLE WRITE-UP

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      Dec 05, 2009 · , equal over alll lung fields. Percussion: Lung sounds resonant over all fields. Diaphragms descend ~4 cm bilaterally. Auscultation: Vesicular breath sounds in all lung fields; no rales, wheezes, or rhonchi. No . bronchophony, egophany, or whispered . pectoriloquy. Extremities: No clubbing or cyanosis. [performed during cardiovascular exam].

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    • [DOC File]Medicare charting - HealthInsight

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      PAIN MANAGEMENT . 1). Pain characteristics/level. 2). Document effectiveness of . scheduled analgesics. 3). Use of prn analgesics and. effectiveness . 4).

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    • [DOC File]Head-to-Toe Narrative Assessment Example

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      Lung sounds clear in all lung fields. (If your patient is on O2, make sure you record the O2 rate and delivery system here, along with pulse ox readings). Heart sounds clear and regular, patient has a history of heart disease and has an implanted pacemaker (If your patient is on a heart monitor, record the rhythm here - such as normal sinus ...

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    • [DOC File]MEDICARE CHARTING GUIDELINES - HealthInsight

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      Describe accurately breath sounds over all lung aspects (i.e. wheezes, rales, ronchi). Describe respiratory rate, rhythm and quality. Describe the effectiveness of any respiratory treatments given (i.e. Nebulizers, Chest PT, Other Respiratory Medications, Oxygen, etc) Describe residents comfort level as r/t respiratory status.

      charting lung assessment


    • [DOC File]INITIAL CARE PLAN

      https://info.5y1.org/how-to-document-lung-sounds_1_f497b9.html

      Title: INITIAL CARE PLAN Author: Timothy F. Murphy Last modified by: Gary Jorgenson Created Date: 4/21/2003 9:42:00 PM Company: Personal Other titles

      charting lung sounds examples


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