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Progress Report Overview

Student: AKILESHWAR REDDY MENDU

Activity: Adding Orders A

Start Time: 12/04/2022 16:54:21

End Time: 12/04/2022 17:35:20

Total Time: 00:40:58

Actions

Order at 12/04/2022 16:57:02 Order at 12/04/2022 17:11:01

Order at 12/04/2022 16:58:36 Order at 12/04/2022 17:13:47

Order at 12/04/2022 17:02:29 Order at 12/04/2022 17:18:45

Order at 12/04/2022 17:04:22 Order at 12/04/2022 17:26:54

Order at 12/04/2022 17:06:50 Order at 12/04/2022 17:31:47

Order at 12/04/2022 17:08:46 Order at 12/04/2022 17:34:44


Adding Orders A Documentation
Student: AKILESHWAR REDDY MENDU
Activity Start: 12/04/2022 16:54:21
Activity Completion: 12/04/2022 17:35:20
Activity Completion: 00:40:58

Patient Data

Patient: Lateef Ledbetter DOB: 07/24/1994


Age/Sex: 28 yo M MR#: MR-7270
Location: General Hospital ER Admit Date: 12/04/2022

Orders

Order at 12/04/2022 16:54

Category Location

Author AKILESHWAR REDDY MENDU

Provider Kerry West, MD

Item admitted for 24hrs admission

Include DEA/NPI number false

Child-resistant caps false

Frequency NOW

Schedule Once

Status Active

Starts on 12/04/2022 16:54

Ends on 12/05/2022 16:54

Med Label

CONT
MAN/LOT RX EXP EXP DATE DUE STORAGE SUB INSTRUCTIONS

Order at 12/04/2022 16:57

Category Diagnostics

Author AKILESHWAR REDDY MENDU

Provider Kerry West, MD

Item Renal Ultrasound


Include DEA/NPI number false

Child-resistant caps false

Details Rule out of renal calculi

Frequency NOW

Schedule Once

Status Active

Starts on 12/04/2022 16:57

Ends on 12/05/2022 16:57

Med Label

CONT
MAN/LOT RX EXP EXP DATE DUE STORAGE SUB INSTRUCTIONS

Order at 12/04/2022 16:59

Category Care

Author AKILESHWAR REDDY MENDU

Provider Kerry West, MD

Item Intake and Output

Include DEA/NPI number false

Child-resistant caps false

Details Strain all urine. call if urine output is less than 30ml per hour.

Frequency AS DIRECTED

Schedule 8h

Status Active

Starts on 12/04/2022 16:59

Ends on 12/05/2022 16:59

Med Label

CONT
MAN/LOT RX EXP EXP DATE DUE STORAGE SUB INSTRUCTIONS

Order at 12/04/2022 17:02

Category Care

Author AKILESHWAR REDDY MENDU

Provider Kerry West, MD


Item continuous pulse oximetry

Include DEA/NPI number false

Child-resistant caps false

Frequency CONTINUOUS

Schedule 1d

Status Active

Starts on 12/04/2022 17:02

Ends on 12/05/2022 17:02

Med Label

CONT
MAN/LOT RX EXP EXP DATE DUE STORAGE SUB INSTRUCTIONS

Order at 12/04/2022 17:04

Category Care

Author AKILESHWAR REDDY MENDU

Provider Kerry West, MD

Item Oygen via NC at 2 to 4L to keep O2 saturation greater than 95%

Include DEA/NPI number false

Child-resistant caps false

Frequency CONTINUOUS

Schedule 1d

Status Active

Starts on 12/04/2022 17:04

Ends on 12/05/2022 17:04

Med Label

CONT
MAN/LOT RX EXP EXP DATE DUE STORAGE SUB INSTRUCTIONS

Order at 12/04/2022 17:06

Category Care

Author AKILESHWAR REDDY MENDU

Provider Kerry West, MD


Item Vitals Signs every 4hours

Include DEA/NPI number false

Child-resistant caps false

Frequency Q4H

Schedule 4h

Status Active

Starts on 12/04/2022 17:06

Ends on 12/05/2022 17:06

Med Label

CONT
MAN/LOT RX EXP EXP DATE DUE STORAGE SUB INSTRUCTIONS

Order at 12/04/2022 17:08

Category Dietetics

Author AKILESHWAR REDDY MENDU

Provider Kerry West, MD

Item NPO expect for ice chips

Include DEA/NPI number false

Child-resistant caps false

Frequency CONTINUOUS

Schedule 1d

Status Active

Starts on 12/04/2022 17:08

Ends on 12/05/2022 17:08

Med Label

CONT
MAN/LOT RX EXP EXP DATE DUE STORAGE SUB INSTRUCTIONS

Order at 12/04/2022 17:11

Category Laboratory

Author AKILESHWAR REDDY MENDU

Provider Kerry West, MD

Item Urinalysis, Culture and Sensitivity, BMP, CBC


Include DEA/NPI number false

Child-resistant caps false

Details Notify MD with results

Frequency NOW

Schedule Once

Status Active

Starts on 12/04/2022 17:11

Ends on 12/05/2022 17:11

Med Label

CONT
MAN/LOT RX EXP EXP DATE DUE STORAGE SUB INSTRUCTIONS

Order at 12/04/2022 17:14

Category Scheduled Meds

Author AKILESHWAR REDDY MENDU

Provider Kerry West, MD

Item 992462SY1

Item Detail Phenergan 25 MG/ML Injectable Solution

Include DEA/NPI number false

Child-resistant caps false

Quantity 25mg

Route IV Push (IVP)

Details Give every 6hours as needed for nausea and/or vomiting

Frequency PRN Q6H

Status Active

Starts on 12/04/2022 17:14

Ends on 12/05/2022 17:14

Med Label

CONT
MAN/LOT RX EXP EXP DATE DUE STORAGE SUB INSTRUCTIONS

Order at 12/04/2022 17:20


Category Scheduled Meds

Author AKILESHWAR REDDY MENDU

Provider Kerry West, MD

Item 894912SCD1

Item Detail 1 ML Morphine Sulfate 10 MG/ML Prefilled Syringe

Include DEA/NPI number false

Child-resistant caps false

Quantity 4mg

Route IV Push (IVP)

Details Give every 15min as needed for pain 6-10 of scale of 1-10.Max 10mg in one
hour. Monitor respiratory status. Notify physician if RR <10/minute

Frequency AS DIRECTED PRN

Status Active

Starts on 12/04/2022 17:20

Ends on 12/05/2022 17:20

Med Label

CONT
MAN/LOT RX EXP EXP DATE DUE STORAGE SUB INSTRUCTIONS

Order at 12/04/2022 17:27

Category Scheduled Meds

Author AKILESHWAR REDDY MENDU

Provider Kerry West, MD

Item NP990

Item Detail Sodium Chloride 0.9% (Normal saline) (NaCl)

Include DEA/NPI number false

Child-resistant caps false

Quantity 1000ml

Route Intravenous (IV)

Details Administer first 500ml in 1hour as a bolus. Then run NS at 125ml/hour.

Frequency CONTINUOUS

Status Active

Starts on 12/04/2022 17:27

Ends on 12/05/2022 17:27


Med Label

CONT
MAN/LOT RX EXP EXP DATE DUE STORAGE SUB INSTRUCTIONS

Order at 12/04/2022 17:31

Category Scheduled Meds

Author AKILESHWAR REDDY MENDU

Provider Kerry West, MD

Item 860114SCD1

Item Detail 1 ML Ketorolac Tromethamine 30 MG/ML Prefilled Syringe

Include DEA/NPI number false

Child-resistant caps false

Quantity 30mg

Route IV Push (IVP)

Details Give every 6hours as needed for pain rated 3-5 on a scale of 1-10.

Frequency PRN Q6H

Status Active

Starts on 12/04/2022 17:31

Ends on 12/05/2022 17:31

Med Label

CONT
MAN/LOT RX EXP EXP DATE DUE STORAGE SUB INSTRUCTIONS

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