(GENITOURINARY TD Voiding freely CNon-voiding Dincontinent C2 Diaper Foley catetor C1 Condom Catheter Bladder: Cl distended MA not cistended Urine color and characteristics: y ellow urine, sufficient urine output | Grvoiding treely Nonvoiding | Diinconinent Diaper CFokey Catheter C1 Condom Cabeter Biadder: CI dstended Clot istensed Utne color and characters: —_ ‘DVoiding freely C1Non-voiding Dincontnent — C1 Diaper Foley Catheter C1 condom Catheter Bladder. C1 distended C1 not distended Urine color and characteristics Color CI normal CYpale Citushed O cyanotic O jaundice Color: Cl normal C)pale Citushed O cyanotic CI jaundice Color CI normal Clpale Citushod Gi cyanotic CI jaundice | Twper Cl cood, CIP amt cmies, | U9 LL Go0d CI Poor Tugor Good Cl Poor % | Bedsore: ON sashes | Bedsore: CINo Bedsore: CINo Dyes, stage" "Location yes, stage __tocaton_ Dyes, stage Location Ober: Pata cRess tum 2 Oars Ober __| COS gee, est ams. Book nuteems— | “SS —— feeding: Absent C1 Present | Bleeding: CTabsent C1 Present Bleeding: CTAbsent CT Present | dischames: CI Absent Discharges: Absent Dscares: 1 Absent 5 Present pec). | Present pect) Present pec) B | trea, | pregnant, pregnant, | Utne conracsons: CI Reguar Urine contactors: C1 Reguar Uerne convactons: C] Regular S 1 Inegui prema 1 tneguaprematue CO Inegue prematve Ober: | Ober Ober Range of Woten: LI Canplee Range of Maton: LI Complete Range of ton: Complete 3g wn aon 1 waniniaton wah aon B4 | weainess: (No | Weakness: [1 No ‘Weakness: £1 No 35 1 Yes, caonbum on ne ce st Cyes,traton Yes lecaton | otters ams, R30 BURGE | Ofers -|6Fee Tine NURSES NOTES: Tine NURSES NOTES: Tine | NURSES NOTES 600m | Monitored vital signs AM shift Continuation ‘am | Acree V Fis Eemeseeetaeal {0004n Monitored vital signs “fiplanNSS tL 2valsofabuninGoniie [10.05 n Administered Parecoxib 40g 1V iazlam ig. Hf xan toe ft a NSS 229, administered Esomeprazole 409 620am | Administered Clindamycin 600mg IV _| 1045 4m Regositon patent to prevent baxsors 25am | Povied Chote ol swab | i: Jn Nontored va signs 850amn | ArlielMeboOirinentontietceendteas | 1+ 494m, Monitored CBG ee 0am | Monitored vital signs Fonds positon power sprain 7.10am | Monitored CBG ‘200m Monitored vital signs 720m | cae 49 cc of na fodng 1245 dn Repositon pteto prerrtbedsore Fonts positon preert expan 00g) Administered Gtindamy cin 600m9 I 0am | Assessedito wander sign ofifcten No “signs ert syrpoms inet ‘800em | Monitored vital signs 05am |Clog manitoring: cog 15am [PRastred 10.00 unis of parn plus 12 mot Nant cine Netuizaon 30am | Administered ‘neb of Salbutamol 40am |Reposion palerto preentbedsre 00am | Monitored vital signs 905 an airisted ppraiintzebactan 459 N NiP-F-007-B.3