Frail-Elderly-MAR-final
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Medication Administration Record Wake Tech Community College Simulation Suite Reason for Visit: r/o hip fracture Primary MD: Struthers Room/Bed No. Admission Date: today Attending: Jones WTCC LAB, Bed 2 Birthdate: 00/00/00 Gender: Female Height: 5 ft. 2 in. Weight: 66 kg Allergies: NKDA, strawberries Day Evening Night Start Stop Checked Medication Name (Dose, Route, Schedule) Shift Shift Shift Time Time By 07001459 Phase One ks 15002259 23000659 STANDING MEDS: Oxybutynin (Ditropan) 5 mg PO daily (0900) Lisinopril (Zestril) 10 mg PO daily (0900) HCTZ/Triamterene (Dyazide) 2 capsules PO daily (0900) Calcium Carbonate 500 mg PO twice daily (0900/2100) PRN MEDS: Oxycodone 5 mg PO every 4-6 hours PRN pain Diazepam (Valium) 5 mg HS PO PRN sleep/anxiety Naproxen (Aleve) 1 tablet PO every 12 hours PRN pain Zolpidem (Ambien) 5 mg PO at bedtime PRN insomnia Initials Ks Signature/Title Initials Signature/Title Initials Signature/Title Kathy Spade RN Omitted Dose Codes A-NPO Diagnostic B- NPO Surgery C-Patient Refused Dose D-Nausea E-Hold Dose F-Patient Away from Rm. G-Other (see notes) Patient Name: Sara Tompkins Medication Record Number: 1231230 Injectable Site Codes (Site, Route) Anterior Thigh (R/L) Gluteal Region (R/L) Deltoid (R/L) Abdominal (R/L) RUQ-right upper quadrant RLQ- right lower quadrant LUQ- left upper quadrant LLQ- left lower quadrant Medication Administration Record Wake Tech Community College Simulation Suite Reason for Visit: r/o hip fracture Primary MD: Struthers Room/Bed No. Admission Date: today Attending: Jones Birthdate: 00/00/00 Gender:female Allergies: NKDA, strawberries Height: 5 ft 2 in. Weight: 66 kg Day Evening Night Start Stop Checked Medication Name (Dose, Route, Schedule) By Shift Shift Shift Time Time 07001459 Phase OneSecond order set 15002259 23000659 ks Ondansetron (Zofran) 10 mg IV every 4 hours x 2 doses PRN nausea and vomiting Ketorolac (Toradol) 15 mg IV every 6 hours PRN pain Percocet 1-2 tablets every 6 hours PRN pain Initials ks Signature/Title Initials Signature/Title Initials Signature/Title Kathy Spade RN Omitted Dose Codes A-NPO Diagnostic B- NPO Surgery C-Patient Refused Dose D-Nausea E-Hold Dose F-Patient Away from Rm. G-Other (see notes) Patient Name: Sara Tompkins Medication Record Number: 1231230 Injectable Site Codes (Site, Route) Anterior Thigh (R/L) Gluteal Region (R/L) RUQ-right upper quadrant RLQ- right lower quadrant Deltoid (R/L) Abdominal (R/L) LUQ- left upper quadrant LLQ- left lower quadrant Medication Administration Record Wake Tech Community College Simulation Suite Reason for Visit: r/o hip fracture Primary MD: Struthers Room/Bed No. Admission Date: POD #2 Attending: Jones WTCC Lab, Bed 2 Birthdate: 00/00/00 Gender: female Allergies: NKDA, strawberries Height: 5 ft. 2 in. Weight: 66 kg Day Evening Night Start Stop Checked Medication Name (Dose, Route, Schedule) Shift Shift Shift Time Time By 07001459 Phase Four Initials Ks 15002259 23000659 ks Levofloxacin (Levaquin) 500 mg PO once a day x 14 days. Signature/Title Initials Signature/Title Initials Signature/Title Kathy Spade RN Omitted Dose Codes A-NPO Diagnostic B- NPO Surgery C-Patient Refused Dose D-Nausea E-Hold Dose F-Patient Away from Rm. G-Other (see notes) Patient Name: Sara Tompkins Medication Record Number: 1231230 Injectable Site Codes (Site, Route) Anterior Thigh (R/L) Gluteal Region (R/L) Deltoid (R/L) Abdominal (R/L) RUQ-right upper quadrant RLQ- right lower quadrant LUQ- left upper quadrant LLQ- left lower quadrant
