Cca Nursing
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Initial nursing assessment and findings are documented within 24 hours of patient arrival at the ward | YES |
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Shift Summary Report (Nursing care plan, Follow up plan) is available | YES |
Patient and Family Educational Record obtained | YES |
Allergies are documented | YES |
The signatory colu mn for surgery and procedure informe d consent is compl eted | YES |
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The signatory colu mn for anesthesia consent is complet ed | YES |
Post Anesthesia re covery score is co mplete circle | YES |
Pain Score before discharge is recor ded | YES |
Post anesthetic or ders is recorded | YES |
Anesthetist signat ory columns is com pleted (signed, st amped, Dated) | YES |
Discharge time fro m recovery ward is recorded | YES |
Weight and Height is documented | YES |
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Details of medication ordered are available (dosage, frequency, doctor's signature and date) | YES |
Independent checker is completed (Date, Time, Given, & Witnesses) | YES |
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