VIEW COMPLETED NOTE

Patient was admitted to HHS on 2021-07-13, with Dx COPD. Dr. Gregory House referred patient to HHS for SN, PT, HHA services. SN performed skilled observation & assessment, monitored vital signs, assessed mental and physical status, evaluated compliance, effectiveness and side effects of medication, diet and nutritional status, and patient’s and caregiver’s knowledge of signs and symptoms of complications; assessed home for safety to prevent falls, and educated patient on medications uses and side effects, disease process, diet, MD follow up, safety precautions, and emergency management, to dial 911 in case of emergencies such as chest pain, severe SOB/Pain. SN prepared and administered  Vancomycin 750 MG/ 250 mL NS over 90 minutes via PICC line and gravity A- Flow to control rate of infusion at 167 mL/hour, Meropenem 1 GM/100 mL NS IV over 60 min via PICC line and gravity as ordered by MD; IV therapy has been completed without difficulties, IV line was removed by Victoria Ray. No further services needed, patient is discharged from Home Health Services with all goals met.