Today at a glance
Everything that was done for Miss Dot today, in the order it happened.
Turns / repositions
7 logged
Meal intake average
76%
Fluids
1,020 mL
Falls today
None
Turn & repositioning log
New: stage 1 heel area being watched- 06:00
Repositioned — right side
Pillow wedge placed. Skin over sacrum pink, blanchable, no breakdown.
Charted by A. Reyes · CNA #4412
- 08:05
Up to recliner
Transferred with 2-person assist and gait belt. Tolerated 45 minutes.
Charted by A. Reyes · CNA #4412
- 10:00
Repositioned — left side
Heels floated on pillow. Barrier cream applied.
Charted by A. Reyes · CNA #4412
- 12:15
Repositioned — back with wedge
Head of bed 30°. Incontinence care completed.
Charted by T. Nguyen · CNA #5108
- 14:10
Repositioned — right side
Resident requested TV on. Call light in reach.
Charted by T. Nguyen · CNA #5108
- 16:00
Repositioned — left side
Small reddened area right heel noted, reported to charge RN.
Charted by T. Nguyen · CNA #5108
- 18:20
Repositioned — back
Skin check by RN: stage 1 pressure area right heel, offloading boot applied.
Charted by K. Alvarez, RN · RN #2201
Meals, hydration & diet
Ordered diet: Carb-modified, mechanical soft, thin liquids
Breakfast · 7:40
Ate 75%Scrambled eggs, oatmeal, peaches, 8oz milk, decaf coffee
Fluids 360 mL · Fed self with setup assist. Enjoyed the peaches.
Logged by A. Reyes, CNA
Lunch · 12:05
Ate 50%Baked chicken (minced), mashed potatoes, green beans, pudding
Fluids 240 mL · Refused green beans. Encouraged fluids.
Logged by T. Nguyen, CNA
Snack · 14:45
Ate 100%Greek yogurt, graham crackers
Fluids 120 mL · Dietitian-added protein snack.
Logged by T. Nguyen, CNA
Dinner · 17:30
Ate 80%Salisbury steak (minced), rice, carrots, sugar-free jello
Fluids 300 mL · Sat up in chair for full meal.
Logged by T. Nguyen, CNA
Vitals & comfort
Blood pressure
128/74
08:00
Heart rate
78 bpm
08:00
Temperature
98.4 °F
08:00
O₂ saturation
96% RA
08:00
Blood glucose
156 mg/dL
11:30
Weight
148.2 lb (-0.6 lb)
06:30
Pain
3 / 10 hip
14:00
Bowel / bladder
1 BM, continent x3
All day