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Enter room
1.) hand sanitize
2.)Verify arm band
3.) Close curtain
4.) raise bed
5.) lower bed rail
Communication
1.) how are you feeling
2.) Are you having any pain or discomfort
Step three Anterior chest assessment
1.) Respiratory status - no tool- expected
2.) heart sounds - stethoscope (both sides)- expected
3.) Breathe sounds - stethoscope (latter method)- expected
Step four posterior chest assessment
1.) assess epidural site - no tool- expected
2.) Breathe sounds- stethoscope (latter method)- expected
Step Five Upper extremities
1.) oxygen saturation - o2 sat - expected
2.) iv site - no tool- expected
step six abdominal assessment
1.) Inspect _EFM- No tool - Expected
2.)palpate - abdomen- no tool - expected
Step seven Genitourinary
1.) inspect -urinary catheter- no tool- expected
2.) palpate dilation - glove with lube/ no tool- expected
4.) Effacement - Glove with lube/no tool- expected
5.) Station- glove with lube/ no tool- expected
step 8 leave
1.) rail up
2.) lower bed
3.) sanitize
4.) open curtain