7/25/2019 Or Fdar Sample
2/3
TIME >R%+#t fallo!%an o0t
>-%nal $o0nt of '!on+e', needle' and %n'tr0ent'
$o!lete %n t#e !re'en$e of t#e NO)
>A(do%nal %n$%'%on '0t0red layer (y layer done (y
'0r+%$al tea
TIME >O!erat%on 7n%'#ed
TIME >A(o/e I- $on'0ed and $#an+ed "%t# 'ae _______
; _______ Rea!!l%$at%on of (etad%ne '"a( on '0t0red %n$%'%on
'0t0red "%t# to! dre''%n+1
>Man0al e/a$0at%on of (lood $lot'
>Po't?o! $are done
> Po't o! &S of BP3 __________H+, PR3
__________BPM, RR3 __________CPM, SPO43___________5
>Ur%ne o0t!0t of ____$$
TIME >To re$o/ery roo !er 'tret$#er "%t# 'ae on+o%n+
I- of _______ ; _______ Into OR a __ year old feale !er
"#eel$#a%r&'tret$#er a$$o!an%ed (y NO) * orderly
"%t# on+o%n+ I- of __________ . __________$$ le/el
%nf0'%n+ "ell at left ar1
>Con'$%o0' * $o#erent
>Infored Con'ent '%+ned for ___________________
>U'#ered to OR ta(le %n '0!%ne !o'%t%on
> Card%a$ Mon%tor atta$#ed "& !reo! &S
BP3_____________H+ PR3_____________BPM
RR3_____________CPM SPO43___________5
> O4%n#alat%on ad%n%'tered . 4 LPM !er na'al
$ann0la
>Re!o'%t%oned to '%de ly%n+ "%t# 6nee' 9e2ed
>L0(ar '6%n !re!!ed done (y NO)
TIME >S!%nal Ane't#e'%a %nd0$ed (y )r1 _________________
>Ba$6 to '0!%ne !o'%t%on
>A(do%nal '6%n !re!!ed done (y NO)
>)ra!ed a'e!t%$ally
TIME > O!erat%on 'tarted "#ere%n a _____________ %n$%'%on
"a' done (y
)r1 _________________ a''%'ted (y )r1 _________________
>In$%'%on dee!ened to !er%tone0
>Ident%7$at%on and %'olat%on of d%'ea'ed or+an
TIME >S!e$%en o0t
>Heo'ta'%' en'0red
>In$%'%on '0t0red layer (y layer done (y '0r+%$al tea
TIME >O!erat%on 7n%'#ed
>Rea!!l%$at%on of (etad%ne '"a( on '0t0red %n$%'%on
and 'e$0red "& to! dre''%n+
>Po't o! $are done
>Po't o! &S of BP3 __________H+, PR3
__________BPM, RR3 __________CPM, SPO43___________5
TIME >Into re$o/ery roo !er 'tret$#er "%t# 'ae I-
of__________ . __________$$ le/el1
Sara#
E2!loratory La!arotoy
TIME > Into OR a __ year old feale !er
"#eel$#a%r&'tret$#er a$$o!an%ed (y NO) * orderly
"%t# on+o%n+ I- of __________ . __________$$ le/el
%nf0'%n+ "ell at left ar1
>-a$%al +r%a$e noted
>Moan' "#en %n !a%n
>8%t# NGT $onne$ted to dra%na+e (ottle
>8%t# %nta$t I-C
>Pale %n a!!earan$e
>Infored Con'ent '%+ned for E2!loratory La!arotoy
>U'#ered to OR ta(le %n '0!%ne !o'%t%on
> Card%a$ Mon%tor atta$#ed "& !reo! &S
BP3_____________H+ PR3_____________BPM
RR3_____________CPM SPO43___________5
TIME >PNSS @L #oo6ed at _____ ar
TIME >General Ane't#e'%a %nd0$ted (y )r1
_________________
7/25/2019 Or Fdar Sample
3/3
TIME >Int0(at%on done noted
>A(do%nal '6%n !re!!ed done (y NO)
>)ra!ed a'e!t%$ally
>)ra!ed a'e!t%$ally
TIME > O!erat%on 'tarted "#ere%n a %dl%ne /ert%$al
%n$%'%on
"a' done (y
)r1 _________________ a''%'ted (y )r1 _________________
>In$%'%on dee!ened 0nt%l !er%tone0
TIME >A(o/e I- of ___________ d%'$ont%n0ed and $#an+ed
to !a$6ed RBC at ____ar
>E/a$0at%on of #eo!er%tone0
>E2!lorat%on and %n'!e$t%on of %ntra?a(do%nal $a/%ty
>L%/er !a$6%n+ done at '%te of l%/er %n0ry "%t#
'0('e0ent a!!l%$at%on of +el foa
>Heo'ta'%' en'0red
TIME >A(o/e I- on t#e _____ar $on'0ed and $#an+ed
to ____________
>A(do%nal %n$%'%on '0t0red layer (y layer done (y
'0r+%$al tea
TIME >O!erat%on 7n%'#ed
>Rea!!l%$at%on of (etad%ne '"a( on '0t0red %n$%'%on
and 'e$0red "& to! dre''%n+
>Po't o! $are done
>Po't o! &S of BP3 __________H+, PR3
__________BPM, RR3 __________CPM, SPO43___________5
TIME >4+1 -0ro'e%de +%/en (y NO) /%a I !0'#ed
>Oro!#aryn+eal '0$t%on%n+ done (y )r1
_________________ follo"ed (y e2t0(at%on
TIME >Into re$o/ery roo !er 'tret$#er "%t# 'ae I- of
__________ . __________$$ le/el1
