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FDAR – PEDIA WARD HIGH-RISK

Patient Initials: C. K. Age: 16


Room #: 505 Gender: Female

DATE / TIME FOCUS DATA, ACTION, and RESPONSE


April 27, 2023 Risk for Injury DATA:
1pm ➢ On bed awake
➢ With intact heplock on right hand
ACTION:
➢ Kept side rails up and locked
➢ Advised relative not to leave the patient unattended
➢ Advised small frequent feeding with strict aspiration
precaution
➢ Instructed relative proper hygiene
➢ HGT monitored taken and recorded
RESPONSE:
➢ No injury noted

DATE / TIME FOCUS DATA, ACTION, and RESPONSE


April 28, 2023 Risk for injury DATA:
1pm ➢ On bed, awake
➢ With intact heplock on the left hand
ACTION:
➢ Kept side rails up
➢ Advised significant other to raise side rails up at all times
➢ Facilitated hemoglucose test every six hours
➢ Daily wound care done
RESPONSE:
➢ No injury noted

Student Nurse: Gomez, Ellyza Syrelle C.


Group 2 – 4B

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