KINGDOM OF GOD HOSPITAL ,LOS ANGELES,CA 900000.
Age/Sex 70years Female.
Admitted date: 04/21/21@ 05am.
Status: Inpatient admission.
Location: Trauma Unit.
Attending doctor : Tumtum,Worry.
Patient name: Monkse Scott.
Resuscitation status: Full Code.
Height: 4feet 11inches.
Primary diagnosis: Left hip dislocation. Secondary diagnosis dm,htn,hypothyroidism, Chronic Anemia,CHF,forgetfulness.
Isolation Status: Standard Precautions.
Is patient at risk for falls: Yes.
Implement falls prevention protocols.
(Yellow armband, yellow gown,Falling yellow sign at patient door.)
Diet Carb controlled cardiac health diet.
NPO sign on the door.
Do you have Advance Directive:No .Copy of advance Directive on the chart.
NPO after Midnight. Left hip fixation in am by doctor Happime,Goodness.
Cardiology clearance done.Ejection fraction 40%.
Abduction pillow in between leg.
D5.9NS @ 75ml/hour right ac 20guage,patent/clean/dry.
Dilaudid 0.5mg IV Q3hours prn pain. Morphine sulfate 2mg IV Q8hrs prn pain. Zofran 4mg IV prn nausea/Vomiting. Laboratory tests: