VIEW COMPLETED NOTE

SN to instruct patient on bladder training program, including timed voiding, SN to instruct the Patient/Caregiver on signs/symptoms of UTI to report to MD/SN. SN may obtain urinalysis and urine culture & sensitivity (C&S) test as needed for signs/symptoms of UTI, to include pain, foul odor, cloudy or blood-tinged urine and fever, SN to change Foley catheter with Fr cc catheter every beginning on, SN to change suprapubic tube with, SN to irrigate suprapubic tube with 100-250cc of sterile normal saline as needed for blockage, leakage, SN to irrigate Foley with 100-250cc of sterile normal saline as needed for blockage, leakage, SN to instruct the Patient/Caregiver on proper Foley care, SN to allow additional visits for dislodgement, blockage, or leakage of Foley or drainage system, SN to instruct patient/caregiver on ostomy management as follows:, SN to perform ostomy care as follows:, SN to administer enema if no bowel movement in days, SN to instruct the Patient/Caregiver on signs and symptoms of constipation to report to SN or physician, SN to instruct the Patient/Caregiver on foods that contribute to acid reflux/indigestion, SN to instruct patient not to eat 4 hours before bedtime to reduce acid reflux/indigestion, SN to digitally disimpact patient for constipation unrelieved by medications for days, SN to instruct Patient/Caregiver on measuring and recording intake and output, SN to instruct patient to increase activity to alleviate constipation