VIEW COMPLETED NOTE

Patient identified by name, ID with picture and facial recognition. SN performed skilled observation and assessment of all body systems from head to toe. No signs or symptoms of acute distress noted. SN assessed home for safety & Risks for fall. Safety & preventative education. SN performed skilled observation and assessment, monitored vital sign and blood pressure and found them within normal limits. SN assessed mental and physical status, evaluated compliance, effectiveness and side effects of medication, diet and nutritional status, and patient’s and/or caregiver’s knowledge of signs and symptoms of complication. Cap and air were removed from saline syringe. End of the IV line (port) was cleaned with alcohol pad for 15 seconds. The tip of the saline syringe was inserted into the port. Clamp was opened on the catheter and flush with 10 mL of Saline (sodium chloride). Saline syringe was removed from the end of the IV line. Then 3 ml Heparin was flushed (10 units/ml). Heparin syringe was removed from the end of the IV line and clamped the IV line after flushing is completed. Patient tolerated procedure well without complaint or complications. Standard and universal precautions were used. Patient is incapable of perform IV line flush due: complexity of procedure. There is no caregiver willing and able to perform this skilled care.