CobraIV
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I understand its just a simple transfer to the dialysis center. I just was wondering if I can get more input on my SOAP note. I dont know if I missed anything let me know
S- Unit 93 dispatched to Bright Side care center for PT transport to dialysis appointment. RN noted no changes in PT.
O- 78 y/o Pt found in bed A&O. Pt transfered to strecher by sheet lift x2 EMTs. Pt secured to strecher by x5 straps and x2 side rails. Pt loaded in ambulance. Vitals noted above,lung sounds clear equal bilaterally, normal chest rise & fall with normal tidal volume. Skin color normal and warm, cap refill normal. Eyes PEARL, neck midline and intact. No jvd. Chest,pelvis and legs intact. Pt denies c/p & sob.
A-Pt going to her dialysis appointment.
P- Unit 93 arrives to dialysis center. Pt transfered to recliner via sheet lift x2 emts. Pt repositioned for comfort in recliner. Pt left with RN for her dialysis appoinment.
S- Unit 93 dispatched to Bright Side care center for PT transport to dialysis appointment. RN noted no changes in PT.
O- 78 y/o Pt found in bed A&O. Pt transfered to strecher by sheet lift x2 EMTs. Pt secured to strecher by x5 straps and x2 side rails. Pt loaded in ambulance. Vitals noted above,lung sounds clear equal bilaterally, normal chest rise & fall with normal tidal volume. Skin color normal and warm, cap refill normal. Eyes PEARL, neck midline and intact. No jvd. Chest,pelvis and legs intact. Pt denies c/p & sob.
A-Pt going to her dialysis appointment.
P- Unit 93 arrives to dialysis center. Pt transfered to recliner via sheet lift x2 emts. Pt repositioned for comfort in recliner. Pt left with RN for her dialysis appoinment.