SCO 5

Colors & Lengths

M&M Analysis: Tools of Quality Part #1

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M&M Checksheet

Team # A

Bag Identifier
# of Red
# of Yellow
# of Blue
# of Orange
# of Green
# of Brown

NAS-567
3
4
6
6
5
3

Activity #1

Activity #2

Candy Piece #
Lengths in (mm)

1
12.00

2
11.38

3
11.84

4
13.20

Insert Bar Chart – M&M Colors

Insert Histogram – M&M Lengths

5
11.84

**** Here*****

6
11.69

7
10.75

8
10.28

9
10.60

10
11.06

11
12.15

12
13.09

13
12.00

14
12.78

15
11.53

16
11.22

17
12.16

18
13.25

19
12.78

20
11.69

21
10.92

Activity #3
What are the percentages of each color in your sample (fill in the percentage in each box next to the appropriate candy color)?

22
13.40

Candy Color
Number of Pieces
Percentage of Total
Lower Control Limit
Upper Control Limit

Red
3

10.80%
13.20%

Yellow
4

13.50%
16.50%

Blue
6

20.70%
25.30%

Orange
6

20.70%
25.30%

Green
5

13.50%
16.50%

Brown
3

10.80%
13.20%

Activity #4
Conclude whether or not the percentages of your sample are reasonably within the expectations communicated by Mars Inc. (within the provided control limits)

Shipments

M&M Analysis: Tools of Quality Part #2

M&M Defective Shipment Form Summary

Week
No. of Shipments
No. of Shipments with Defects
Reason for Defective Shipment

Week
No. of New Hires
No. of Terminations
Total No. of Workers
Turnover
Avg. Number of Shipments Per Worker

Incorrect Bill of Lading
Incorrect Truck Load
Damaged Product
Trucks Late

1
123
5
2
2
1

1
1
0
20
1

2
131
8
1
4
1
2

2
2
1
21
3

3
138
6
2
3
1

3
3
2
22
5

4
145
11
4
4
1
2

4
2
0
23
2

5
165
12
4
4
2
2

5
1
2
25
3

6
190
13
5
5
3

6
1
4
24
5

7
205
15
7
6
1
1

7
2
1
21
3

8
201
15
6
7
0
2

8
1
2
22
3

9
204
15
5
6
2
2

9
1
1
21
2

10
215
17
5
6
4
2

10
1
2
21
3

TOTALS
1717
117
41
47
16
13

Activity #5

Activity #6

Insert your Pareto – Reason for Defective Shipment Chart

Insert your Avg Num of Shipments Per Worker Vs. Num of Defects Chart

*** Here ***

Activity #7
With limited time and funds for defect analysis, which of the four defect reasons should you focus on based on what you have learned in this module?

Activity #8
Analyze the two lines in your Avg Number of Shipments Per Worker vs. Number of Defects graph. Is there a relationship between the two lines? If so, what is the relationship and what can you conclude?

image1.jpeg

image2.jpeg M&M Analysis: Tools of Quality

Assignment Part #1

After completing the videos and readings included in the Six Sigma Quality module, you should have a basic understanding of how to use the seven tools of quality. This exercise will allow you to apply what you have learned to an M&M quality study.

This assignment includes an Excel spreadsheet that contains one check sheet from an M&M process control study (one team members check sheet). Open the Excel file and familiarize yourself with the data. The research involves counting the number of each M&M individual candy pieces color and measuring the length of each M&M in a single serving bag. We want to understand the distribution of colors of M&M candy pieces and analyze the production process concerning the size of each M&M.

Your job is to complete the following:

Analysis Complete Activities 1 through 4 on the Excel Tab titles Colors & Lengths:

Activity #1 (use the Excel Tab titled Colors & Lengths):
Using data from the M&M color recording section of the check sheet, create a bar chart using Excel that details each colors number represented in the bag. The bar chart format should replicate the following (title, axis titles, categories, etc.)

Activity #2 (use the Excel Tab titled Colors & Lengths):
Using the measurement recording section of the spreadsheet, create a histogram using Excel that details the length of the M&Ms. The histogram format should include the following (title, axis titles, number of bins, bin starting and ending values, etc.). Hint format your x-axis by the number of bins and use the value 6.

You will find hints on creating the charts using excel to create these charts in the Supplemental Material section of the Six Sigma Quality Module in D2L.

On average, the mix of colors for M&MS PEANUT CANDIES is:

23% blue, 23% orange, 15% green, 15% yellow, 12% red, 12% brown

Activity #3 (use the Excel Tab titled Colors & Lengths):
Analyze your sample data by calculating your percentage of the total for each color.

Activity #4 (use the Excel Tab titled Colors & Lengths):
Conclude whether or not the percentages of your sample are reasonably within the expectations communicated by Mars Inc. (within the provided control limits).

Assignment Part #2

Your customers have complained about late shipments recently. Therefore, you have decided to implement a process where drivers complete a new form on arrival at the customers stores. You had one of your employees summarize the forms for the last ten weeks and total the number of shipments, number of shipments with defects, and the total number of each reason for any defect shipments. You also asked your employee to summarize the total number of workers for each of the same weeks. The employees data gathering results are in the Excel spreadsheet (M&M Project Quality Part 2) attached to this assignment in D2L. Open the Excel file and familiarize yourself with the data.

Your job is to complete the following:

Analysis Complete Activities 5 through 8 on the Excel Tab titles Shipments:

Activity #5 (use the Excel Tab titled Shipments):
Develop a Pareto chart (in the Excel document) for the type of defects that have occurred. The Pareto diagram format should replicate the following example (title, axis titles, etc.). Hint: A Pareto diagram needs to have a percentage line.

Activity #6 (use the Excel Tab titled Shipments):
Develop a Run Chart (in the Excel document) including a line for the average number of shipments per worker per week and a line for the number of defects per week. You will need to calculate the average number of shipments per worker in column N. The graph format should replicate the following example (title, axis titles, etc.).

Activity #7:
Answer the question in the Excel document

Activity #8:
Answer the question in the Excel document

You must submit one Excel compatible file with the two workbooks, Colors & Lengths and Shipments, to the appropriate dropbox in D2L. No other file type will be accepted for this assignment.

Grading
: Assignment is worth 80 points. Criteria can be found in the D2L rubric for this assignment.

image4.jpeg

image5.png

image4.png

image6.png

image7.png

image1.jpeg

image2.jpeg

image3.png

Clinical

The top 3 pages

CONCEPT MAP WORKSHEET

DESCRIBE DISEASE PROCESS AFFECTING PATIENT
(INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS)

Dehydration

Dehydration occurs when you use or lose more fluid than you take in, and your body doesn’t have
enough water and other fluids to carry out its normal functions. If you don’t replace lost fluids, you
will get dehydrated.

DIAGNOSTIC TESTS (REASON
FOR TEST AND RESULTS)

PATIENT INFORMATION ANTICIPATED PHYSICAL
FINDINGS The patient is a 5-year-old female

who has had diarrhea and
vomiting for the past 3 days and
presented to the ER this morning
with signs of dehydration.

Urine analysis: A urinalysis is used
to detect and manage a wide range
of disorders, such as urinary tract
infections, kidney disease and
diabetes. A urinalysis involves
checking the appearance,
concentration, and content of urine.
Abnormal urinalysis results may
point to a disease or illness. Patients
result:

Electrolyte balance: Electrolyte
panel helps determine how the
kidneys are working and where the
electrolytes are.

K +: 4.7
Na +: 145
Creatinine: 0.9
Cl -: 110
BUN: 20
HCO 3 -: 22

Dry mouth and tongue
No tears when crying.
Sunken eyes and/or cheeks.
Low electrolyte levels.
Decreased urine output.
Tachycardia.
Weak thready pulse.

ANTICIPATED NURSING INTERVENTIONS
Administer medications and fluids as ordered.
Encourage the patient to drink more fluids.
Monitor the patient intake and output.
Educate the mother on the proper amount of fluid intake for the age group of the child

vSim ISBAR ACTIVITY STUDENT WORKSHEET

INTRODUCTION This is Brandi Griffin, RN calling from the pediatrics unit

Your name, position (RN), unit you are
working on

SITUATION I am calling about Eva Madison, room 159. Her code
status is full code. I am calling to update you on the
patients status. I have just assessed the patient.
Current vital signs:
Blood Pressure: 82/65
Pulse: 190 beats/min and regular
Respiratory Rate: 30 breaths/min; chest is moving equally
Temp: 98.96 F
O2 sat: 96%
Pain Assessment: rated 2 on 0-5 FACES scale
The patients increased pulse is concerning at this time.

Patients name, age, specic reason for visit

BACKGROUND The patient is alert and oriented to person, place, and time.
The skin is quite cold and a tenting sign is present.
The patient is not on oxygen at this time.

Patients primary diagnosis, date of
admission, current orders for patient

ASSESSMENT The patient is improving, she has handled her treatments
well ,she is interacting with her mother and myself, she is
playing with her stuffed toy and watching TV. Current pertinent assessment data using head to toe

approach, pertinent diagnostics, vital signs

RECOMMENDATION The patient has shown improvements on her current plan
of care and I do not think any changes need to be made at
this time. Any orders or recommendations you may have

for this patient

Pharm 4 fun

PATIENT EDUCATION WORKSHEET

NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE

MEDICATION: Sodium chloride

CLASSIFICATION: Mineral and electrolyte replacement/supplement

PROTOTYPE: N/A

SAFE DOSE OR DOSE RANGE, SAFE ROUTE
PO, IV (Children and Infants): Maintenance sodium requirements34
mEq/kg/day (maximum: 150 mEq/day).

PURPOSE FOR TAKING THIS MEDICATION
This is administered to treat or prevent sodium loss caused by dehydration.

PATIENT EDUCATION WHILE TAKING THIS MEDICATION
Advise patients at risk for dehydration due to exposure to extreme temperatures when and how to

take NaCl tablets. Inform the patients that undigested tablets may be passed in the stool; oral
electrolyte solutions are preferable.

Explain to the patient the purpose of the infusion.

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N
. 1

PATIENT CHART
Chart for Edith Jacobson

STUDENT NAME:

PATIENT INITIALS:

CLINICAL DATE(S):

INSTRUCTOR:

Edith Jacobson Gender Identification:
Female

Allergies: No known allergies

DOB: 03/27/XX Age: 85 years Height: 152 cm (60 in) Weight: 47.5 kg (105 lb) MRN: 78519372

Diagnosis: Osteoporosis — Left hip fracture Adm Date: Today at 0800 Adm Provider: Mark Peterson, MD

Facility: Preoperative surgical unit Adv Directive: No Isolation Precaution: No

Demographics

Marital Status: Widow Primary Language: English

Next of Kin: Eldest child Occupation: Retired teacher

History of Chief Concern: 85 year-old female with a history of osteoporosis. Lives at home by herself and fell
and broke her left hip during the night. She is scheduled for hip surgery tomorrow morning.

Past Medical History

Surgical Procedure: Year: Disease/Condition: Date Diagnosed:

Hysterectomy 20 years ago Osteoporosis. Home
medications:
raloxifene, calcium,
and vitamin D

10 years ago

Notes:

Pain History: Yes

Notes: Piercing pain with movement in left hip

Transfusion History:

Notes:

Allergies: No known allergies
Substance:
Category:
Reaction:

Immunizations: Up to date

Social History

Living situation: Home
Lives with: Herself

Education: College

Nicotine Use: Non-smoker

Alcohol Use: User Notes: Occasional glass of wine

Drug Use: Non-user

Violence Screening: Yes, no current issues

Nutritional Screening: Yes, no current issues

Exercise Screening: Yes, no current issues

Mental Health Screening: Yes, no current issues

Sexual Activity: No

PATIENT INFORMATION

ED
IT

JA
C

O
B

SO
N

No prior surgical history Denies prior medical problems

NURSING ASSESSMENT FLOWSHEET

TIME OF ASSESSMENT: Done at 1400

RESPIRATORY
OXYGEN DELIVERY METHOD: Q Room Air Nasal Cannula
Simple Face mask Non-Rebreather Mask CPAP
BiPAP Other
SPUTUM:
RESPIRATORY SYMPTOMS: Cough Shortness of Breath
Difficulty Breathing at Rest Difficulty Breathing with Activity
Use of Accessory Muscles Cyanosis Other
BREATH SOUNDS:
Right: Q Clear Crackles Rhonchi Wheeze
Coarse Stridor Inspiratory Expiratory
Decreased Absent
Left: Q Clear Crackles Rhonchi Wheeze Coarse
Stridor Inspiratory Expiratory Decreased Absent
RESPIRATIONS: Q Regular Irregular Labored
Gasping Grunting Retraction Nasal Flaring
THORAX: Q Even expansion Uneven expansion

NEUROLOGICAL
ORIENTATION: Q Person Q Time Q Place Q Situation
Disoriented
PUPILS: Q PEERLA
Left: Size: Reaction:
Right: Size: Reaction:
STRENGTH:
BEHAVIORAL/EMOTIONAL: Q Calm Cooperative
Restless Combative Confused Agitated Untestable
GLASGOW COMA SCALE:
Eye Opening: Q Spontaneous Q Speech Q Pain
Non-responsive
Verbal Response: Q Oriented times 3 Confused
Inappropriate Incomprehensible No Sounds
Motor Response: Q Obeys commands Localizes pain
Flexion/Withdrawal to Pain Abnormal Flexion Extension
No movement
SIGHT: Q No Correction Glasses Contacts Blind
HEARING: Q WNL Hard of Hearing Hearing Aid Deaf

GASTROINTESTINAL
ABDOMINAL DESCRIPTION: Q Soft Flat Non-Distended
Distended Firm Round Sunken Rigid Guarding
Rebound Scars Hernia
PALPATION: Q Non-Tender Tender
Location:
GI SYMPTOMS: Anorexia Belching Vomiting
Heartburn Nausea Epigastric Pain Cramping
Constipation Diarrhea Abdominal Pain
Flatulence Hiccup Early Satiety Dysphagia
Encopresis Bloody Stools
Weight Loss Weight Gain Other
BOWEL SOUNDS: Q Present Hypoactive Hyperactive
Absent
DIET TOLERANCE: Excellent Q Adequate Inadequate
NPO Other
Diet Type:
Impaired swallowing Choking
DEVICES: NG Tube Feeding Tube
NOTES:

Edith Jacobson Gender Identification:
Female

Allergies: No known allergies

DOB: 03/27/XX Age: 85 years Height: 152 cm (60 in) Weight: 47.5 kg (105 lb) MRN: 78519372

Diagnosis: Osteoporosis — Left hip fracture Adm Date: Today at 0800 Adm Provider: Mark Peterson, MD

Facility: Preoperative surgical unit Adv Directive: No Isolation Precaution: No

ED
IT

JA
C

O
B

SO
N

CARDIOVASCULAR
HEART TONES: Q S1, S2 Q Regular Irregular Murmur
S3 S4 Gallop Muffled Distant Radiating
PULSES:
All: Absent Intermittent +1 +2 +3
Bounding Doppler
LUE: Absent Intermittent +1 +2 Q +3
Bounding Doppler
RUE: Absent Intermittent +1 +2 Q +3
Bounding Doppler
LLE: Absent Intermittent +1 Q +2 +3
Bounding Doppler
RLE: Absent Intermittent +1 +2 Q +3
Bounding Doppler
EDEMA: Q None Generalized
Site #1: Absent Trace
1 + 2 + 3 + 4 + Non-Pitting Pitting
Site #2: Absent Trace
1 + 2 + 3 + 4 + Non-Pitting Pitting
CAPILLARY REFILL:
LUE: Q < 3 sec > 3 sec Absent
RUE: Q < 3 sec > 3 sec Absent
LLE: Q < 3 sec > 3 sec Absent
RLE: Q < 3 sec > 3 sec Absent
SKIN COLOR AND DESCRIPTION:
Q Appropriate for ethnicity Q Warm Q Dry Q Intact
Cool Clammy Cyanotic Diaphoretic
Blotchy Dusky Flushed Fragile Jaundiced Moist
Mottled Pale Ashen Other
DEVICES:
Pacer IABP CVP Pulmonary Artery Monitoring
Cardiac Monitor Arterial line

NURSING ASSESSMENT FLOWSHEET CONTINUED

GENITOURINARY
URINARY SYMPTOMS: Dysuria Oliguria
Polyuria Anuria Hematuria Nocturia
Urinary Retention Difficulty Starting Stream
Hesitancy Q None

INCONTINENCE: Frequency Urgency Stress
Complete Daytime Nighttime

URINE COLOR: Q Yellow Amber Orange Red Brown
Pink Green Blue Not Visualized

URINE CHARACTER: Q Clear Cloudy Concentrated
Diluted Sediment Bloody Clots Frothy Purulent

URINE ODOR:

DEVICE:

CATHETER: Size: Volume in Balloon:

SITE DESCRIPTION:

GENITALIA EXAM:

SANE EXAM:

OTHER/NOTES:

MENTAL HEALTH

PAIN SCALE

LOCATION: Left hip and leg

ONSET: Left hip fracture
LAST ASSESSMENT AT: 1400
PAIN RATING: 0 1 2 3 4 5 Q 6 7

INTEGUMENTARY

DATE/TIME:

Q Clean/Dry/Intact Skin Assessment
Site/Wound:
REGION: Head Neck Shoulder Back
Torso Arm Hand Hip Buttocks
Groin Leg Ankle Foot

TYPE:

CHARACTERISTICS:

LENGTH: WIDTH:

DEPTH: ACTIONS:

NOTES:

BRADEN SCALE SCORE: 15

BEHAVIOR/AFFECT:

Q Appropriate Agitated Anxious Depressed
Crying Fearful Hostile Inappropriate
Help-rejecting/Complaining Embarrassed
Evasive Resentful Angry Impulsive
Disturbed Sleep Nightmares Night terrors
Regression Other:

STRESSORS: Q Condition Q Hospitalization
Q Diagnosis Procedure Q Surgery Family Death
Family Illness Family Problems Finances
Unknown Causes Abuse/Neglect Exposure to Violence
Other:

COPING: Well Q Fair Poor

COPING STYLE:

COMMUNICATION:

COGNITIVE IMPAIRMENT SCREENING:

TOOL USED: Interpretation:

PRESENT REGIMEN:

THOUGHTS EXHIBITED: Delusional Hallucinatory
Depersonalization

REACTION: Over-reactive Under-reactive
Purposeful Disorganized Stereotypical
Q Consistent Reactions Inconsistent Reactions

OTHER/NOTES:

TYPE: SIZE:

VASCULAR ACCESS

LOCATION:

DOCUMENTED AT:

DRESSING:

NOTES:

ACTIONS:

Securement device with transparent dressing

Left forearm 20 g

0700

Flushed with 0.9% sodium chloride, patent access

Peripheral

MUSCULOSKELETAL
MUSCULOSKELETAL SYMPTOMS: Q Pain Joint Swelling

MOTOR STRENGTH GRADE:
All: 5/5 4/5 3/5 2/5 1/5 0/5
LUE: 5/5 Q 4/5 3/5 2/5 1/5 0/5
RUE: 5/5 Q 4/5 3/5 2/5 1/5 0/5
LLE: 5/5 4/5 3/5 Q 2/5 1/5 0/5
RLE: 5/5 4/5 Q 3/5 2/5 1/5 0/5

RANGE OF MOTION & CHARACTERISTIC:
All: Passive ROM Active Assistive ROM Active ROM
Spasm Paralysis Atrophy
LUE: Passive ROM Active Assistive ROM Q Active ROM
Spasm Paralysis Atrophy
RUE: Passive ROM Active Assistive ROM Q Active ROM
Spasm Paralysis Atrophy
LLE: Q Passive ROM Active Assistive ROM Active ROM
Spasm Paralysis Atrophy
RLE: Passive ROM Active Assistive ROM Q Active ROM
Spasm Paralysis Atrophy

WEIGHT BEARING/GAIT/POSTURE:
Steady Independent Unsteady Dependent
Asymmetrical Jerky Shuffling Spastic
Developmentally Appropriate
Lordosis Scoliosis Kyphosis Q None
ACTIVITY: Up ad lib Walker Cane Crutches
Wheelchair

ASSIST: x1 x2 Lift Bed Bound
NOTES: Left hip fracture

ED
IT

JA
C

O
B

SO
N

CONSULT: Chaplain Social Work Psychiatry
Childhood

Join Stiffness Contractures Deformities Crepitus
Weakness Amputation Q Fractures Spasm None

8 9 10

AGGRAVATING FACTORS: Q Movement Coughing

Breathing Eating

ALLEVIATING FACTORS: Rest Compression

Q Medication Ice Q Immobility

PAIN CHARACTERISTICS: Aching Throbbing Dull

Stabbing Burning Piercing Sore Crushing

Q Radiating

FREQUENCY: Q Constant Intermittent
DURATION:
TYPE OF PAIN: Chronic Q Acute Cancer-related
ACTION: Complete bed rest until surgery

Date/Time:

1000

1400

ECG done. Shows normal sinus rhythm without ischemia / ML, RN

Vital signs stable. Patient skin intact. Pedal pulses intact. Turned and skin care given. Patient
resting comfortably.
2 mg morphine administered IV for the pain level of 7.

Morse Fall Risk completed.
Score:
1. History of falling 25
2. Secondary diagnosis 0
3. Ambulatory aid 0
4. IV reservoir 20
5. Gait 10
6. Mental status 0

Total
/ML, RN

Initials: Nurse Signature:

ML Marjorie Lund, RN.

PROGRESS ION NOTES

Edith Jacobson Gender Identification:
Female

Allergies: No known allergies

DOB: 03/27/XX Age: 85 years Height: 152 cm (60 in) Weight: 47.5 kg (105 lb) MRN: 78519372

Diagnosis: Osteoporosis — Left hip fracture Adm Date: Today at 0800 Adm Provider: Mark Peterson, MD

Facility: Preoperative surgical unit Adv Directive: No Isolation Precaution: No

ED
IT

JA
C

O
B

SO
N

Date and Time: Orders Status: Timing: Freq. Initials: Due:

Admission Today
0800

Admit to pre-surgical department Active MP

Diagnosis: Left hip fracture,
scheduled for surgery tomorrow am

Active MP

Activity: Bed rest Active Routine Continu-
ous

Vital signs Active Routine Every 4
hours

MP 1600

Nothing by mouth after midnight —
night before surgery

Active Routine MP 2400

Active Sched
uled

Once MP 2100

Confirm informed consent before
surgery

Active Sched
uled

Once MP 2100

Lactated Ringers 84 mL/hr — night
before surgery

Active Sched-
uled

Continu-
ous

MP 2100

Enoxaparin sodium 40 mg
subcutaneous

Active Sched-
uled

Daily MP

Docusate sodium 100 mg oral Active Sched-
uled

Daily MP

Morphine sulfate 2 mg IV for pain
rating of 7-10

Active PRN Every 4
hours

MP PRN

Tramadol hydrochloride 50 mg oral
for mild to moderate pain level 1-3

Active PRN Every 6
hours

MP PRN

Oxycodone/acetaminophen 5/325
mg for moderate pain level 4-7

Active PRN Every 4
hours

MP PRN

Labs: CBC, BMP, serum calcium,
aPPT

Discon-
tinued

MP On ad-
mission

ECG Discon-
tinued

X-ray: AP pelvis, AP left hip Discon-
tinued

Anti-embolism stockings
(knee-length)

Active Routine Continu-
ous

HR less than 60/min, greater than
110/min

Active Continu-
ous

RR less than 12/min, greater than
22/min
SpO2 less than 90%
Systolic BP less than 110 mmHg,
greater than 140 mmHg

Hibiclens bath the night before
surgery

PROVIDER ORDERS

Edith Jacobson Gender Identification:
Female

Allergies: No known allergies

DOB: 03/27/XX Age: 85 years Height: 152 cm (60 in) Weight: 47.5 kg (105 lb) MRN: 78519372

Diagnosis: Osteoporosis — Left hip fracture Adm Date: Today at 0800 Adm Provider: Mark Peterson, MD

Facility: Preoperative surgical unit Adv Directive: No Isolation Precaution: No

ED
IT

JA
C

O
B

SO
N

Diastolic BP less than 65 mmHg,
greater than 90 mmHg
Temperature greater than 38.5 C
(101.3 F)

Initials: Provider Signature:

MP Mark Peterson, MD

ED
IT

JA
C

O
B

SO
N

Scheduled and Routine Drugs

Medication Dose Route Freq. Last given

Enoxaparin sodium 40 mg Subcuta-
neous

Daily 1000

Docusate sodium 100 mg Oral Daily 1000

PRN

Medication Dose Route Freq. Last given

Morphine sulfate 2 mg IV
Every 4
hours as
needed
for pain

1400

Tramadol hydrochloride 50 mg Oral Every 6
hours

Oxycodone/acetaminophen 5/325 mg Oral Every 4
hours

Continuous Infusions

Medication Dose Route Freq. Last given

MEDICATION ADMINISTRATION RECORD

Edith Jacobson Gender Identification:
Female

Allergies: No known allergies

DOB: 03/27/XX Age: 85 years Height: 152 cm (60 in) Weight: 47.5 kg (105 lb) MRN: 78519372

Diagnosis: Osteoporosis — Left hip fracture Adm Date: Today at 0800 Adm Provider: Mark Peterson, MD

Facility: Preoperative surgical unit Adv Directive: No Isolation Precaution: No

ED
IT

H
J

A
C

O
B

SO
N

Intake (mL) Output (mL)

Time/
date

Oral Tube
feed

IV IVBP Other Urine Emesis NG Drains
type

Other

23-07

Shift
total:

07-15

Shift
total:

15-23

Shift
total:

This worksheet shall be used at the bedside to keep track of each intake and output. The totals will then be recorded on
the 24-hour Fluid Balance Sheet

Fluid Measurements

1 cc = 1 mL
1 ounce = 30 mL
8 ounces = 240 mL
1 cup = 8 ounces = 240 mL
4 cups = 32 ounces = 1 quart or 1 liter = 1000 mL

Sample Measurements

Coffee cup = 200 mL
Clear glass = 240 mL
Milk carton = 240 mL
Small milk carton = 120 mL
Juice, gelatin or ice cream cup = 120 mL
Soup bowl = 160 mL

INTAKE & OUTPUT

Edith Jacobson Gender Identification:
Female

Allergies: No known allergies

DOB: 03/27/XX Age: 85 years Height: 152 cm (60 in) Weight: 47.5 kg (105 lb) MRN: 78519372

Diagnosis: Osteoporosis — Left hip fracture Adm Date: Today at 0800 Adm Provider: Mark Peterson, MD

Facility: Preoperative surgical unit Adv Directive: No Isolation Precaution: No

ED
IT

JA
C

O
B

SO
N

Date Adm.

Time 0800 1200

BP 126/82 124/80

HR 78 82

RR 12 14

SpO2
96%
RA

98%
RA

Oxygen Flow (L/min) RA RA

Temperature (oC) 37.2 36.9

Nurse Initials T T T T

VITAL SIGNS

Edith Jacobson Gender Identification:
Female

Allergies: No known allergies

DOB: 03/27/XX Age: 85 years Height: 152 cm (60 in) Weight: 47.5 kg (105 lb) MRN: 78519372

Diagnosis: Osteoporosis — Left hip fracture Adm Date: Today at 0800 Adm Provider: Mark Peterson, MD

Facility: Preoperative surgical unit Adv Directive: No Isolation Precaution: No ED
IT

JA
C

O
B

SO
N

Specimen collected: Today
0900

Venous Blood Analysis

Complete Blood Count:

Hgb (male 14-17.4 g/dL,
female 12-16 g/dL) 14

HCT (male 42-52%, female
36-48%) 42

WBC (4.5-10.5 x 109) 8

Platelets (150-400*109) 195

Basic Metabolic Panel:

Na+ (136-145 mEq/L) 142

K+ (3.5-5 mEq/L) 3.8

Cl- (98-106 mEq/L) 100

BUN (8-20 mg/dL) 20

Creatinine (male 0.6-1.2 mg/
dL, female 0.4-1.0 mg/dL) 0.8

Glucose (70-110 mg/dL) 102

Miscellaneous:

Calcium — Serum (4.5-5.5
mEq/L) 4.5

Prothrombin time (11-13 s) 11

INR (0.8-1.1) 0.9

APTT (21-35 s) 35

Type and screen

Blood type A+

Indirect antiglobulin 0

LABORATORY REPORT

HCO3
– (19-25 mEq/L)

Edith Jacobson Gender Identification:
Female

Allergies: No known allergies

DOB: 03/27/XX Age: 85 years Height: 152 cm (60 in) Weight: 47.5 kg (105 lb) MRN: 78519372

Diagnosis: Osteoporosis — Left hip fracture Adm Date: Today at 0800 Adm Provider: Mark Peterson, MD

Facility: Preoperative surgical unit Adv Directive: No Isolation Precaution: No ED
IT

JA
C

O
B

SO
N

Before calling the provider:

1. Assess the patient
2. Have charts and relevant information in front of you

SBAR Report Patient Information Notes

Situation Identify yourself:

Patients name and reason for report:

Concerns:

Background History includes:

Current problems are:

Any patient complaints:

Assessment Vital signs:

Pain level:

Lab values:

Interventions completed:

Give your conclusions:

Recommendation What I need from you is:

Be specific about a time frame:

Suggestions for tests/treatments:

Verify orders and when to call back:

SBAR

Edith Jacobson Gender Identification:
Female

Allergies: No known allergies

DOB: 03/27/XX Age: 85 years Height: 152 cm (60 in) Weight: 47.5 kg (105 lb) MRN: 78519372

Diagnosis: Osteoporosis — Left hip fracture Adm Date: Today at 0800 Adm Provider: Mark Peterson, MD

Facility: Preoperative surgical unit Adv Directive: No Isolation Precaution: No

ED
IT

JA
C

O
B

SO
N

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