KINGDOM OF GOD HOSPITAL, LOS ANGELES,CALIFORNIA 900000.
Age/Sex : 71years old man.
Status : Inpatient.
Date of Admission: 01/25/21.
Location: Medical/Surgical floor.
Patient name: Nogod,Michael.
Attending doctor: Tumtum,Worry.
Code Status : full code.
Is patient at risk for falls:Yes due to Confusion.Fall prevention protocol in place.Alert and oriented ×2.
Do patient have advance Directive: No.
Copy of advance Directive on the chart.
Is patient at risk for suicide: No.
Patient belongings Checklist completed.
Primary diagnosis:Cellulitis/infection. Allergy: NKDA.
Diet: Carb Control diet.
Secondary diagnosis: HTN,DM,HTN,HYPOTHYROIDISM/COPD/ EJECTION FRACTION 20 to 30%.IV drug abuse ESRD.
Isolation status: Standard Precautions.
Diet Renal carb control diet.
Nephro 1 can BID.
Quinton catheter removed on 01/25/21. Dressing C/D/I.
Permacath placed today 01/27/21.
Hemodialysis today after Permacath placement.
Hemodialysis Monday/Wednesday/Friday. Stage 11 pressure ulcer to the Coccyx.
Quacel packing covered with Myperlix.
Renegel 800mg po Daily.
Vancomycin 500mg IV during Hemodialysis. Zosyn 3.375gm IV Q8hrs.
Norco 10/325mg po Q6hours prn pain.
Norvasc 1 tablet po Daily.
Multivitamin 1tablet po Daily.
Folic acid 1tablet po daily.
Saline lock right forearm patent.
MRSA Swab and Belongings list done in Emergency room.