A 65years old female comes in to Emergency room with CVA with deficit, alert and oriented x 2.Urinary track infection, cellulitis around the G Tube.Transaminis. Weight 160lbs,Height 5feet 6inches.High risk for fall. Side rail up x2,patient close to nursing station. Contact Isolation.Full code, no suicidal risk .02 at 2liter nasal canula. Skin integrity impaired. Transportation …
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