Aide Care Plan - Kinnser

Kinnser Software 2016. aide care plan Page 1 of 2 aide care plan Clinician: Patient Name (Last Name, First Name) & MRN: Mileage: Gender: Agency Name/Branch: M F Date: / / Time In: Time Out: DOB: / / Functional Limitations Amputation Paralysis Legally Blind Hearing Bowel/Bladder Incontinence Endurance Dyspnea Contracture Ambulation Speech Other: DME Bedside Commode Cane Hospital Bed Grab Bars Elevated Toilet Seat Nebulizer Oxygen Wheelchair Walker Tub/Shower Bench Supplies ABDs Ace Wrap Alcohol Pads Chux/Underpads Diabetic Supplies Drainage Bag Dressing Supplies Duoderm Exam Gloves Foley Catheter Gauze Pads Insertion Kit Irrigation Set Irrigation Solution Kerlix Rolls Leg bag Needles NG Tube Probe Covers Sharps Container Sterile Gloves Sy

Ω © Kinnser Software 2016. Aide Care Plan Page 1 of 2 ! Aide Care Plan Clinician: Patient Name (Last Name, First Name) & MRN: Mileage: Gender:

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