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A. Rossi Mori (CNR-ITB); EuloTech
Nursing terminology IntraText
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Patient Care Data Set (2229 records)
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OR:
orders
(
1357
records
)
Add
humidification
to
oxygen
source
to
liquefy
secretions
. [
C0548042
] [
ORC
_
12200
.
01
]
----
Address
sexuality
concerns
of
patient
or
significant
other. [
C0548118
] [
ORC
_
13010
.
00
]
----
Administer
blood
products
according to
approved
policy
and
procedure
. [
C0547687
] [
ORC
_
08200
.
00
]
----
Administer
fluid
bolus
by
intravenous
infusion
. [
C0547510
] [
ORC
_
05101
.
04
]
----
Administer
fluids
(
Dextrose
,
Lactated
Ringer
's) according to
Parkland
formula
. [
C0547511
] [
ORC
_
05101
.
05
]
----
Administer
immunizations
as
ordered
or
indicated
. [
C0547604
] [
ORC
_
07040
.
04
]
----
Administer
intravenous
infusion
fluids
to
maintain
optimal
fluid
balance
. [
C0547506
] [
ORC
_
05101
.
00
]
----
Administer
Lacrilube
or
artificial
tears
as
indicated
. [
C0548273
] [
ORC
_
18040
.
04
]
----
Administer
medication
as
ordered
. [
C0547665
] [
ORC
_
08100
.
00
]
----
Administer
medications
to
increase
comfort
. [
C0548231
] [
ORC
_
17100
.
00
]
----
Administer
medications
,
enemas
,
skin
preparation
,
intravenous
infusion
fluids
, etc. as
ordered
. [
C0548454
] [
ORC
_
21060
.
04
]
----
Administer
nebulizer
treatment
as
ordered
or
indicated
. [
C0548026
] [
ORC
_
12100
.
06
]
----
Administer
no other
analgesic
sedative
while on
PCA
. [
C0547673
] [
ORC
_
08110
.
01
]
----
Administer
oral
care
, with
adjustments
to
patient
needs
. [
C0548288
] [
ORC
_
18100
.
01
]
----
Administer
oxygen
as
ordered
or
indicated
. [
C0548041
] [
ORC
_
12200
.
00
]
----
Administer
total
parenteral
nutrition
as
ordered
according to
policy
and
procedures
. [
C0547850
] [
ORC
_
10350
.
00
]
----
Administer
water
bolus
via
feeding
tube
. [
C0547849
] [
ORC
_
10310
.
03
]
----
Advance
diet
as
ordered
and
tolerated
. [
C0547819
] [
ORC
_
10120
.
03
]
----
Advance
positioning
per
skin
tolerance
and
occupational
therapy
recommendations
. [
C0547132
] [
ORC
_
00120
.
04
]
----
Allow
and
encourage
patient
or
family
control
over
care
(when
possible
). [
C0547561
] [
ORC
_
06210
.
04
]
----
Allow
family
to
spend
time
with
patient
. [
C0548115
] [
ORC
_
13000
.
02
]
----
Allow
for
regression
. [
C0547465
] [
ORC
_
04300
.
04
]
----
Allow
patient
time
to
express
self
. [
C0548123
] [
ORC
_
13030
.
02
]
----
Allow
Xeroform
or
Biofrane
to
fall
off on its own, then
keep
skin
moist
with
Eutracream
. [
C0548334
] [
ORC
_
18320
.
05
]
----
Ambulate
in
hall
with
assistance
. [
C0547141
] [
ORC
_
00200
.
04
]
----
Ambulate
in
room
with
assistance
. [
C0547140
] [
ORC
_
00200
.
03
]
----
Ambulate
independently
in
hall
. [
C0547142
] [
ORC
_
00200
.
05
]
----
Ambulate
with
assistance
. [
C0547139
] [
ORC
_
00200
.
02
]
----
Analyze
the
wave
form
and
report
unresolved
abnormalities
to the
physician
. [
C0547284
] [
ORC
_
02090
.
07
]
----
Anticipate
duration
of
impaired
function
. [
C0547153
] [
ORC
_
00220
.
03
]
----
Apply
ace
wraps
to
grafted
areas
. [
C0548339
] [
ORC
_
18340
.
04
]
----
Apply
BAIR
HUGGER
(
hot
air
warmer
) as
available
. [
C0547916
] [
ORC
_
11170
.
03
]
----
Apply
cushioning
mat
to
bed
. [
C0548268
] [
ORC
_
18030
.
04
]
----
Apply
direct
pressure
to
bleeding
sites
when
appropriate
, until
bleeding
stops
. [
C0547762
] [
ORC
_
09100
.
03
]
----
Apply
egg
crate
to
bed
. [
C0548267
] [
ORC
_
18030
.
03
]
----
Apply
emollient
lotions
. [
C0548272
] [
ORC
_
18040
.
03
]
----
Apply
Eutracream
to
Xeroform
. [
C0548333
] [
ORC
_
18320
.
04
]
----
Apply
foot
cradle
to
bed
. [
C0548269
] [
ORC
_
18030
.
05
]
----
Apply
heating
pad
. [
C0547917
] [
ORC
_
11170
.
04
]
----
Apply
ice
or
cool
compress
as
ordered
or
indicated
. [
C0548400
] [
ORC
_
19080
.
01
]
----
Apply
ice
packs
as
ordered
. [
C0547911
] [
ORC
_
11150
.
02
]
----
Apply
lip
balm
. [
C0548289
] [
ORC
_
18100
.
02
]
----
Apply
moist
or
dry
heat
as
ordered
or
indicated
. [
C0548401
] [
ORC
_
19080
.
02
]
----
Apply
oxygen
via
face
tent
. [
C0548044
] [
ORC
_
12200
.
04
]
----
Apply
protective
devices
as
needed
, such as,
helmet
,
splints
,
arm
sling
, etc. [
C0548145
] [
ORC
_
14050
.
05
]
----
Apply
puff
pack
to
bed
. [
C0548265
] [
ORC
_
18030
.
01
]
----
Apply
sheep
skin
to
bed
. [
C0548266
] [
ORC
_
18030
.
02
]
----
Apply
topical
anti-microbial
agent
and
gauze
as
indicated
and
dress
occlusively
. [
C0548341
] [
ORC
_
18340
.
06
]
----
Apply
warm
blankets
or
warming
blanket
. [
C0509768
] [
ORC
_
11170
.
01
]
----
Apply
wet-to-dry
dressing
. [
C0548319
] [
ORC
_
18260
.
06
]
----
Arrange
activities
to
minimize
sleep
disruption
. [
C0547111
] [
ORC
_
00060
.
06
]
----
Arrange
for
follow-up
appointments
and
encourage
attendance
. [
C0547572
] [
ORC
_
06380
.
06
]
----
Arrange
for
lodging
for the
family
(via
social
work
). [
C0547443
] [
ORC
_
04130
.
05
]
----
Ask
patient
to
rate
pain
using
scale
. [
C0548227
] [
ORC
_
17000
.
01
]
----
Assess
abdominal
girth
. [
C0547797
] [
ORC
_
10000
.
04
]
----
Assess
abilities
or
limitations
to
understanding
. [
C0547525
] [
ORC
_
06000
.
04
]
----
Assess
ability
to
perform
activities
of
daily
living
or
self-care
. [
C0548201
] [
ORC
_
15000
.
00
]
----
Assess
abstract
reasoning
. [
C0547364
] [
ORC
_
03050
.
05
]
----
Assess
actual
pressure
ulcer
. [
C0548281
] [
ORC
_
18070
.
00
]
----
Assess
affect
(
including
possible
affective
disorder
);
monitor
changes
. [
C0547381
] [
ORC
_
04000
.
01
]
----
Assess
age
factors
in
relation
to
nutritional
status
. [
C0547799
] [
ORC
_
10000
.
06
]
----
Assess
all
body
orifices
for
signs
of
infection
. [
C0547591
] [
ORC
_
07010
.
02
]
----
Assess
all
breaks
in
skin
for
signs
of
infection
. [
C0547590
] [
ORC
_
07010
.
01
]
----
Assess
allergies
. [
C0548136
] [
ORC
_
14000
.
02
]
----
Assess
and
document
substance
abuse
history
. [
C0547881
] [
ORC
_
11050
.
01
]
----
Assess
and
identify
sources
of
patient
discomfort
. [
C0548229
] [
ORC
_
17000
.
03
]
----
Assess
and
minimize
hazards
of
immobility
. [
C0547156
] [
ORC
_
00220
.
06
]
----
Assess
and
monitor
skin
color
and
temperature
. [
C0548386
] [
ORC
_
19000
.
01
]
----
Assess
and
report
electrical
hazards
to the
responsible
department
(
Physical
Plant
,
Engineering
Services
, etc.) [
C0548189
] [
ORC
_
14240
.
03
]
----
Assess
availability
and
capabilities
of
support
person
(s). [
C0547530
] [
ORC
_
06030
.
02
]
----
Assess
behavioral
changes
such as
irritability
,
decreased
sleep
,
decreased
appetite
. [
C0547594
] [
ORC
_
07010
.
05
]
----
Assess
blood
flow
through
dialysis
access
route
. [
C0547765
] [
ORC
_
09300
.
01
]
----
Assess
bowel
motility
:
bowel
sounds
,
passing
of
flatus
,
abdominal
distension
. [
C0547196
] [
ORC
_
01000
.
01
]
----
Assess
caloric
needs
. [
C0547803
] [
ORC
_
10010
.
02
]
----
Assess
cardiac
output
. [
C0547237
] [
ORC
_
02000
.
02
]
----
Assess
cardiovascular
function
. [
C0547235
] [
ORC
_
02000
.
00
]
----
Assess
care
needs
in
anticipation
of
discharge
. [
C0547528
] [
ORC
_
06030
.
00
]
----
Assess
causative
or
contributing
factors
for
changes
in
body
temperature
. [
C0547876
] [
ORC
_
11010
.
00
]
----
Assess
character
of
vomitus
. [
C0547203
] [
ORC
_
01000
.
08
]
----
Assess
communication
abilities
and
limitations
. [
C0548121
] [
ORC
_
13020
.
00
]
----
Assess
condition
of
wound
,
surrounding
tissue
. [
C0548297
] [
ORC
_
18200
.
00
]
----
Assess
consciousness
using
Glasgow
Coma
scale
. [
C0547366
] [
ORC
_
03070
.
01
]
----
Assess
continuous
electrocardiogram
. [
C0547240
] [
ORC
_
02000
.
05
]
----
Assess
currency
of
typenex
band
. [
C0547688
] [
ORC
_
08200
.
01
]
----
Assess
current
patterns
and
levels
of
mobility
and
activity
. [
C0547151
] [
ORC
_
00220
.
01
]
----
Assess
developmental
stage
. [
C0547462
] [
ORC
_
04300
.
01
]
----
Assess
dressing
for
drainage
. [
C0548300
] [
ORC
_
18200
.
04
]
----
Assess
effect
of
blood
patch
on
pain
of
spinal
headache
. [
C0548469
] [
ORC
_
21200
.
05
]
----
Assess
effective
and
ineffective
coping
mechanisms
currently
in
use
. [
C0547387
] [
ORC
_
04010
.
00
]
----
Assess
effectiveness
of
interventions
for
sleep
promotion
. [
C0547105
] [
ORC
_
00050
.
04
]
----
Assess
effectiveness
of
interventions
to
alter
body
temperature
and
adjust
care
accordingly
. [
C0547929
] [
ORC
_
11220
.
00
]
----
Assess
effectiveness
and
placement
of
airway
. [
C0548053
] [
ORC
_
12250
.
02
]
----
Assess
effectiveness
of
topical
therapy
and
modify
care
as
indicated
. [
C0548275
] [
ORC
_
18040
.
09
]
----
Assess
emotional
state
,
concerns
. [
C0547380
] [
ORC
_
04000
.
00
]
----
Assess
evolving
status
of
acute
myocardial
infarction
. [
C0547243
] [
ORC
_
02010
.
00
]
----
Assess
exposure
or
potential
exposure
to
infection
. [
C0547587
] [
ORC
_
07000
.
01
]
----
Assess
factors
or
circumstances
surrounding
alteration
in
patient
's
level
of
consciousness
. [
C0547367
] [
ORC
_
03070
.
02
]
----
Assess
factors
surrounding
altered
sexuality
. [
C0548119
] [
ORC
_
13010
.
01
]
----
Assess
factors
that
increase
risk
for
sleep
disturbance
. [
C0547103
] [
ORC
_
00050
.
02
]
----
Assess
fetal
wellbeing
through the
use
of an
electronic
fetal
monitoring
device
according to
policy
. [
C0547900
] [
ORC
_
11090
.
01
]
----
Assess
fluid
and
electrolyte
balance
. [
C0547486
] [
ORC
_
05000
.
00
]
----
Assess
for
adherence
to
medication
or
treatment
regime
. [
C0547554
] [
ORC
_
06200
.
01
]
----
Assess
for
air
leak
. [
C0548059
] [
ORC
_
12250
.
09
]
----
Assess
for
alteration
in
ascites
(
abdominal
girths
,
tenseness
). [
C0547754
] [
ORC
_
09010
.
00
]
----
Assess
for
bleeding
. [
C0548298
] [
ORC
_
18200
.
01
]
----
Assess
for
change
in
lab
values
or
radiology
reports
(such as
oxygen
saturation
,
acid-base
balance
, or
chest
x-ray
). [
C0548008
] [
ORC
_
12000
.
05
]
----
Assess
for
changes
in
baseline
neurological
status
. [
C0547357
] [
ORC
_
03000
.
02
]
----
Assess
for
compliance
with
patch
and
shield
to
operative
eye
. [
C0548323
] [
ORC
_
18260
.
10
]
----
Assess
for
conditions
which
pose
a
risk
to
safety
. [
C0548134
] [
ORC
_
14000
.
00
]
----
Assess
for
constipation
or
diarrhea
:
frequency
,
color
,
amount
, and
consistency
of
stools
. [
C0547197
] [
ORC
_
01000
.
02
]
----
Assess
for
contributing
factors
to
impaired
mobility
. [
C0547152
] [
ORC
_
00220
.
02
]
----
Assess
for
deep
vein
thrombosis
(
DVT
). [
C0547257
] [
ORC
_
02030
.
02
]
----
Assess
for
disseminating
intravascular
coagulopathy
(
DIC
). [
C0547259
] [
ORC
_
02030
.
04
]
----
Assess
for
edema
. [
C0548299
] [
ORC
_
18200
.
03
]
----
Assess
for
effects
of
medications
on
bowel
function
. [
C0547199
] [
ORC
_
01000
.
04
]
----
Assess
for
emboli
. [
C0547255
] [
ORC
_
02030
.
00
]
----
Assess
for
evidence
of
vaginal
bleeding
,
note
amount
and
characteristics
. [
C0547893
] [
ORC
_
11060
.
04
]
----
Assess
for
fat
emboli
. [
C0547258
] [
ORC
_
02030
.
03
]
----
Assess
for
fatigue
. [
C0547096
] [
ORC
_
00010
.
01
]
----
Assess
for
history
of
factors
that could
alter
immune
status
or
mask
infection
. [
C0547588
] [
ORC
_
07000
.
02
]
----
Assess
for
intravascular
volume
depletion
(
central
venous
pressures
,
hypotension
,
hemoconcentration
). [
C0547491
] [
ORC
_
05000
.
05
]
----
Assess
for
jugular
venous
distention
. [
C0547493
] [
ORC
_
05000
.
07
]
----
Assess
for
nausea
and
vomiting
. [
C0547202
] [
ORC
_
01000
.
07
]
----
Assess
for
peripheral
edema
. [
C0547492
] [
ORC
_
05000
.
06
]
----
Assess
for
possible
need
for
intubation
or
mechanical
ventilation
; if
indicated
,
obtain
ventilation
box
,
notify
physician
and
respiratory
therapy
. [
C0548018
] [
ORC
_
12035
.
00
]
----
Assess
for
potential
or
actual
stomatitis
. [
C0548290
] [
ORC
_
18100
.
03
]
----
Assess
for
predisposing
factors
associated
with
altered
bowel
function
. [
C0547205
] [
ORC
_
01000
.
10
]
----
Assess
for
pulmonary
emboli
. [
C0547256
] [
ORC
_
02030
.
01
]
----
Assess
for
seizure
activity
. [
C0547358
] [
ORC
_
03000
.
03
]
----
Assess
for
signs
and
symptoms
of
dumping
syndrome
. [
C0547201
] [
ORC
_
01000
.
06
]
----
Assess
for
signs
and
symptoms
of
fluid
overload
. [
C0547498
] [
ORC
_
05100
.
01
]
----
Assess
for
signs
and
symptoms
of
dehydration
. [
C0547499
] [
ORC
_
05100
.
02
]
----
Assess
for
signs
and
symptoms
of
infection
or
sepsis
. [
C0547589
] [
ORC
_
07010
.
00
]
----
Assess
for
signs
and
symptoms
of
hypertension
. [
C0547871
] [
ORC
_
11000
.
03
]
----
Assess
for
signs
and
symptoms
of
shock
. [
C0547875
] [
ORC
_
11000
.
07
]
----
Assess
for
signs
and
symptoms
of
increasing
intracranial
pressure
. [
C0547878
] [
ORC
_
11040
.
00
]
----
Assess
for
signs
and
symptoms
of
withdrawal
,
including
muscle
spasm
or
tremors
. [
C0547886
] [
ORC
_
11050
.
06
]
----
Assess
for
signs
and
symptoms
of
decreased
oxygenation
.
Report
findings
. [
C0548011
] [
ORC
_
12000
.
09
]
----
Assess
for
signs
and
symptoms
of
inhalation
injury
. [
C0548013
] [
ORC
_
12030
.
00
]
----
Assess
for
signs
of
dehydration
. [
C0547490
] [
ORC
_
05000
.
04
]
----
Assess
for
signs
of
perforation
(
post-laryngoscopy
and or
biopsy
),
i.e.
:
dyspnea
,
chest
or
shoulder
pain
,
subcutaneous
emphysema
and
temperature
elevation
. [
C0548019
] [
ORC
_
12040
.
00
]
----
Assess
for
signs
of
pneumothorax
. [
C0548074
] [
ORC
_
12290
.
05
]
----
Assess
for the
presence
of
sensory
deficits
. [
C0548135
] [
ORC
_
14000
.
01
]
----
Assess
for
vulnerability
to
infection
:
skin
integrity
,
nutrition
,
hydration
. [
C0547586
] [
ORC
_
07000
.
00
]
----
Assess
for, and
obtain
occupational
therapy
consult
. [
C0548213
] [
ORC
_
15190
.
00
]
----
Assess
functional
abilities
and
limitations
related
to
performing
health
behaviors
. [
C0547527
] [
ORC
_
06000
.
06
]
----
Assess
fundal
height
and
firmness
. [
C0547897
] [
ORC
_
11080
.
01
]
----
Assess
gastric
motility
. [
C0547200
] [
ORC
_
01010
.
05
]
----
Assess
gastrointestinal
function
. [
C0547195
] [
ORC
_
01000
.
00
]
----
Assess
genital
or
anal
trauma
. [
C0548353
] [
ORC
_
18360
.
06
]
----
Assess
head
trauma
. [
C0548348
] [
ORC
_
18360
.
01
]
----
Assess
heart
sounds
. [
C0547238
] [
ORC
_
02000
.
03
]
----
Assess
hemodynamic
document
hemodynamic
effect
of
discomfort
or
pain
. [
C0547247
] [
ORC
_
02010
.
04
]
----
Assess
history
of
prior
stressors
and
coping
mechanisms
. [
C0547388
] [
ORC
_
04010
.
01
]
----
Assess
history
of recent
vascular
injury
. [
C0547254
] [
ORC
_
02020
.
03
]
----
Assess
impact
of
alcohol
and other
drug
use
on
patient
's
life
. [
C0547885
] [
ORC
_
11050
.
05
]
----
Assess
impact
of
sensory
or
motor
deficits
on
ability
to
perform
ADL
's. [
C0548202
] [
ORC
_
15000
.
01
]
----
Assess
impediments
to
intake
of
adequate
nutrition
. [
C0547808
] [
ORC
_
10020
.
01
]
----
Assess
incision
or
wound
for
redness
,
swelling
,
drainage
. [
C0548309
] [
ORC
_
18240
.
01
]
----
Assess
knowledge
of
available
support
systems
. [
C0547391
] [
ORC
_
04010
.
04
]
----
Assess
learning
needs
for
care
of
patient
in
regards
to
health
deviation
and
treatment
. [
C0547521
] [
ORC
_
06000
.
00
]
----
Assess
learning
;
reinforce
teaching
as
needed
. [
C0548447
] [
ORC
_
21050
.
05
]
----
Assess
level
of
consciousness
(
LOC
). [
C0547365
] [
ORC
_
03070
.
00
]
----
Assess
level
of
current
knowledge
. [
C0547522
] [
ORC
_
06000
.
01
]
----
Assess
level
of
pain
or
discomfort
. [
C0548226
] [
ORC
_
17000
.
00
]
----
Assess
level
of
regional
block
. [
C0548466
] [
ORC
_
21200
.
01
]
----
Assess
lung
or
breath
sounds
. [
C0548004
] [
ORC
_
12000
.
01
]
----
Assess
maternal
vital
signs
during the
initiation
and
maintenance
of the
oxytocic
infusion
. [
C0547684
] [
ORC
_
08150
.
02
]
----
Assess
memory
, recent and
remote
. [
C0547363
] [
ORC
_
03050
.
04
]
----
Assess
mental
status
. [
C0547359
] [
ORC
_
03050
.
00
]
----
Assess
mental
status
using
Mini
Mental
Status
exam
. [
C0547360
] [
ORC
_
03050
.
01
]
----
Assess
muscle
tone
. [
C0547154
] [
ORC
_
00220
.
04
]
----
Assess
neck
and
spinal
trauma
. [
C0548349
] [
ORC
_
18360
.
02
]
----
Assess
need
for
additional
staff
for
clinical
emergencies
(such as,
Call
to
Assist
,
Code
, etc.). [
C0548143
] [
ORC
_
14050
.
03
]
----
Assess
need
for and
provide
special
positioning
. [
C0547114
] [
ORC
_
00100
.
00
]
----
Assess
need
for and
obtain
physical
therapy
or
occupational
therapy
consult
. [
C0547158
] [
ORC
_
00230
.
00
]
----
Assess
need
for
detoxification
. [
C0547880
] [
ORC
_
11050
.
00
]
----
Assess
need
for
medication
and
consult
physician
. [
C0547663
] [
ORC
_
08010
.
05
]
----
Assess
need
for
sensory
stimulation
. [
C0548246
] [
ORC
_
17210
.
01
]
----
Assess
need
for
supplemental
feedings
(per
os
, per
tube
, or per
TPN
). [
C0547806
] [
ORC
_
10010
.
05
]
----
Assess
neurological
status
. [
C0547355
] [
ORC
_
03000
.
00
]
----
Assess
neurovascular
status
;
color
,
temperature
,
movement
and
sensation
. [
C0548393
] [
ORC
_
19070
.
00
]
----
Assess
nutritional
status
. [
C0547793
] [
ORC
_
10000
.
00
]
----
Assess
orientation
to
person
,
place
, and
time
, as
indicated
. [
C0547361
] [
ORC
_
03050
.
02
]
----
Assess
patency
of
airway
. [
C0548012
] [
ORC
_
12000
.
10
]
----
Assess
patient
and
family
knowledge
of
safety
precautions
. [
C0548138
] [
ORC
_
14000
.
04
]
----
Assess
patient
for
proper
placement
and
functioning
of the
central
line
via the
pressure
wave
form
configuration
. [
C0547276
] [
ORC
_
02080
.
00
]
----
Assess
patient
for
restlessness
,
confusion
and
irritability
. [
C0548047
] [
ORC
_
12210
.
01
]
----
Assess
patient
for
signs
and
symptoms
of
cyanosis
. [
C0548048
] [
ORC
_
12210
.
02
]
----
Assess
patient
history
of
adverse
reactions
to
medications
. [
C0547657
] [
ORC
_
08000
.
01
]
----
Assess
patient
or
family
knowledge
of
risk
factors
and
prevention
measures
related
to
skin
breakdown
. [
C0548259
] [
ORC
_
18000
.
07
]
----
Assess
patient
's
ability
to
modify
response
to
anxiety
. [
C0547457
] [
ORC
_
04210
.
02
]
----
Assess
patient
's
beliefs
and
attitudes
about
pain
and
pain
relief
. [
C0548228
] [
ORC
_
17000
.
02
]
----
Assess
patient
's
dietary
habits
(
include
likes
,
dislikes
, and
allergies
). [
C0547802
] [
ORC
_
10010
.
01
]
----
Assess
patient
's
eating
patterns
or
adequacy
of
patient
intake
for
body
requirements
. [
C0547801
] [
ORC
_
10010
.
00
]
----
Assess
patient
's
experience
with
surgery
,
anesthesia
, this
procedure
. [
C0548452
] [
ORC
_
21060
.
02
]
----
Assess
patient
's
home
environment
. [
C0547529
] [
ORC
_
06030
.
01
]
----
Assess
patient
's
knowledge
and
expectations
of
procedure
. [
C0548451
] [
ORC
_
21060
.
01
]
----
Assess
patient
's
response
to
airway
;
restrain
if
necessary
. [
C0548054
] [
ORC
_
12250
.
03
]
----
Assess
patient
's
sleeping
habits
,
patterns
. [
C0547101
] [
ORC
_
00050
.
00
]
----
Assess
patient
's
understanding
of his or her
response
to
anxiety
. [
C0547456
] [
ORC
_
04210
.
01
]
----
Assess
patient
vital
signs
before, during and after
administration
of
regional
anesthesia
. [
C0548467
] [
ORC
_
21200
.
02
]
----
Assess
patterns
of
interaction
;
monitor
changes
. [
C0547383
] [
ORC
_
04000
.
03
]
----
Assess
perceived
learning
needs
. [
C0547523
] [
ORC
_
06000
.
02
]
----
Assess
perception
and
judgment
. [
C0547362
] [
ORC
_
03050
.
03
]
----
Assess
perception
of the
meaning
and
impact
of
loss
. [
C0547385
] [
ORC
_
04000
.
07
]
----
Assess
perception
of
disease
or
injuries
. [
C0547386
] [
ORC
_
04000
.
08
]
----
Assess
perianal
area
for
skin
breakdown
. [
C0548256
] [
ORC
_
18000
.
04
]
----
Assess
post-partum
recovery
. [
C0547896
] [
ORC
_
11080
.
00
]
----
Assess
pre-delivery
status
. [
C0547889
] [
ORC
_
11060
.
00
]
----
Assess
preferred
learning
style
. [
C0547526
] [
ORC
_
06000
.
05
]
----
Assess
presence
and
character
of
drainage
. [
C0547592
] [
ORC
_
07010
.
03
]
----
Assess
previously
attempted
sleep
rituals
and their
effectiveness
. [
C0547104
] [
ORC
_
00050
.
03
]
----
Assess
readiness
,
willingness
,
motivation
to
learn
. [
C0547524
] [
ORC
_
06000
.
03
]
----
Assess
reflexes
;
report
alterations
. [
C0547877
] [
ORC
_
11020
.
00
]
----
Assess
respiratory
function
. [
C0548003
] [
ORC
_
12000
.
00
]
----
Assess
risk
factors
(
smoking
,
obesity
,
stress
,
occupation
). [
C0547253
] [
ORC
_
02020
.
02
]
----
Assess
risk
factors
predisposing
patient
to
alteration
in
nutrition
. [
C0547807
] [
ORC
_
10020
.
00
]
----
Assess
risk
of
violence
to
self
or others. [
C0547384
] [
ORC
_
04000
.
05
]
----
Assess
skin
integrity
and
appearance
. [
C0509400
] [
ORC
_
18000
.
00
]
----
Assess
subjective
and
objective
evidence
of
cardiac-related
pain
. [
C0547246
] [
ORC
_
02010
.
03
]
----
Assess
support
systems
. [
C0547390
] [
ORC
_
04010
.
03
]
----
Assess
the
frequency
,
duration
, and
intensity
of
uterine
contractions
. [
C0547891
] [
ORC
_
11060
.
02
]
----
Assess
the
need
for
continuing
care
or
home
care
referrals
. [
C0547532
] [
ORC
_
06030
.
04
]
----
Assess
the
patient
's
response
to
interventions
and
adjust
care
accordingly
. [
C0548439
] [
ORC
_
21000
.
04
]
----
Assess
the
rupture
of
membranes
noting
date
,
time
,
mode
of
rupture
, and
character
and
amount
of
amniotic
fluid
. [
C0547892
] [
ORC
_
11060
.
03
]
----
Assess
thought
processes
;
monitor
changes
. [
C0547382
] [
ORC
_
04000
.
02
]
----
Assess
tissue
perfusion
of
transplanted
kidney
. [
C0548402
] [
ORC
_
19100
.
00
]
----
Assess
trauma
to
lower
extremities
. [
C0548352
] [
ORC
_
18360
.
05
]
----
Assess
trauma
to
torso
;
chest
and
abdomen
. [
C0548350
] [
ORC
_
18360
.
03
]
----
Assess
trauma
to
upper
extremities
. [
C0548351
] [
ORC
_
18360
.
04
]
----
Assess
trauma
. [
C0548347
] [
ORC
_
18360
.
00
]
----
Assess
understanding
to
call
nurse
for any
discomfort
or
pain
. [
C0547245
] [
ORC
_
02010
.
02
]
----
Assess
understanding
of
monitoring
and
teach
as
needed
. [
C0547278
] [
ORC
_
02090
.
01
]
----
Assess
urinary
function
. [
C0548405
] [
ORC
_
20000
.
00
]
----
Assess
usual
methods
of
bowel
control
. [
C0547204
] [
ORC
_
01000
.
09
]
----
Assess
usual
sleeping
habits
or
patterns
at
home
or during
previous
hospitalizations
. [
C0547102
] [
ORC
_
00050
.
01
]
----
Assess
vaginal
drainage
(
color
,
amount
, etc.) [
C0547898
] [
ORC
_
11080
.
02
]
----
Assess
vital
signs
;
monitor
and
report
significant
changes
. [
C0547870
] [
ORC
_
11000
.
00
]
----
Assess
well-being
of
fetus
or
infant
in
perinatal
period
. [
C0547899
] [
ORC
_
11090
.
00
]
----
Assess
wellbeing
of
neonate
using
APGAR
or other
system
. [
C0547901
] [
ORC
_
11090
.
02
]
----
Assist
and
teach
transfer
techniques
. [
C0547159
] [
ORC
_
00230
.
01
]
----
Assist
as
needed
with
basic
hygiene
,
bathing
,
dressing
. [
C0548210
] [
ORC
_
15110
.
01
]
----
Assist
communication
by
sentence
completion
. [
C0548124
] [
ORC
_
13030
.
03
]
----
Assist
in
identifying
consequences
of
ineffective
coping
. [
C0547435
] [
ORC
_
04120
.
05
]
----
Assist
in
positioning
for
postural
drainage
. [
C0548035
] [
ORC
_
12120
.
03
]
----
Assist
patient
in
acceptance
of
altered
body
image
. [
C0548220
] [
ORC
_
16100
.
00
]
----
Assist
patient
in
arranging
follow-up
treatment
for
substance
abuse
. [
C0547907
] [
ORC
_
11130
.
00
]
----
Assist
patient
in
avoiding
over-stimulation
. [
C0548247
] [
ORC
_
17210
.
02
]
----
Assist
patient
in
exploring
precipitant
to
illness
. [
C0547413
] [
ORC
_
04060
.
01
]
----
Assist
patient
in
identifying
potentially
more
effective
responses
,
developing
new
skills
, and
planning
for the
future
. [
C0547414
] [
ORC
_
04060
.
02
]
----
Assist
patient
in
identifying
causative
and
contributory
factors
to
non-adherence
. [
C0547556
] [
ORC
_
06200
.
03
]
----
Assist
patient
in
identifying
negative
consequences
related
to
use
or
abuse
of
alcohol
and other
drugs
. [
C0547906
] [
ORC
_
11120
.
00
]
----
Assist
patient
in
learning
constructive
problem-solving
techniques
. [
C0547415
] [
ORC
_
04060
.
03
]
----
Assist
patient
in
planning
for
adoption
of
therapeutic
diet
. [
C0547829
] [
ORC
_
10210
.
02
]
----
Assist
patient
or
family
to
meet
with
treatment
team
to
establish
treatment
plan
. [
C0547564
] [
ORC
_
06210
.
07
]
----
Assist
patient
to
meet
daily
schedule
of
activities
as
posted
at
patient
's
bedside
. [
C0547146
] [
ORC
_
00210
.
00
]
----
Assist
patient
to
mobilize
personal
resources
to
reduce
anxiety
. [
C0547459
] [
ORC
_
04210
.
04
]
----
Assist
patient
to
reduce
anxiety
. [
C0547455
] [
ORC
_
04210
.
00
]
----
Assist
patient
to
resume
activities
of
daily
living
(
ADL
's). [
C0548204
] [
ORC
_
15100
.
00
]
----
Assist
patient
with
progressive
mobility
: [
C0547137
] [
ORC
_
00200
.
00
]
----
Assist
patient
with
specialized
exercise
program
. [
C0547144
] [
ORC
_
00200
.
07
]
----
Assist
to
examine
the
behaviors
used to
reduce
anxiety
in the
past
. [
C0547458
] [
ORC
_
04210
.
03
]
----
Assist
with
activities
of
daily
living
. [
C0509063
] [
ORC
_
15110
.
00
]
----
Assist
with
adapting
activities
of
daily
living
(
ADL
's) to
sensory
or
motor
deficits
. [
C0548209
] [
ORC
_
15100
.
06
]
----
Assist
with
mouth
care
. [
C0548211
] [
ORC
_
15110
.
02
]
----
Assure
adequate
but not
excessive
fluid
intake
. [
C0547497
] [
ORC
_
05100
.
00
]
----
Assure
appropriate
sensory
stimulation
;
auditory
,
visual
,
tactile
,
vestibular
,
olfactory
. [
C0548245
] [
ORC
_
17210
.
00
]
----
Assure
correct
armband
at all
times
. [
C0548178
] [
ORC
_
14200
.
07
]
----
Assure
no
rectal
temps
. [
C0547216
] [
ORC
_
01120
.
00
]
----
Assure
optimal
timing
of
medication
administration
in
relation
to other
medications
,
procedures
, and
activities
. [
C0547666
] [
ORC
_
08100
.
01
]
----
Assure
patient
privacy
and
confidentiality
. [
C0547399
] [
ORC
_
04040
.
07
]
----
Assure
proper
electrode
placement
. [
C0547281
] [
ORC
_
02090
.
04
]
----
Assure
proper
functioning
of
feeding
tube
. [
C0547847
] [
ORC
_
10310
.
00
]
----
Assure
safe
transport
of
patient
. [
C0548159
] [
ORC
_
14080
.
00
]
----
Assure
the
informed
consent
for
transfusion
, per
policy
. [
C0547695
] [
ORC
_
08210
.
03
]
----
Assure
use
of
non-slip
slippers
when
patient
is out of
bed
. [
C0548180
] [
ORC
_
14210
.
01
]
----
Attempt
to
rewarm
patient
at the
rate
of
two
degrees
Celsius
per
hour
. [
C0547923
] [
ORC
_
11180
.
01
]
----
Avoid
administration
of
substances
noxious
to
patient
, or
poorly
tolerated
by
patient
. [
C0547685
] [
ORC
_
08160
.
00
]
----
Avoid
administration
of
sorbitol
, as in
elixirs
. [
C0547686
] [
ORC
_
08160
.
01
]
----
Avoid
excessive
use
of
tape
;
use
duoderm
or
Montgomery
straps
as
needed
. [
C0548274
] [
ORC
_
18040
.
06
]
----
Avoid
exposing
patient
to
persons
with
infectious
diseases
,
including
upper
respiratory
infections
; or to those recently
exposed
or
vaccinated
; or to
staff
caring
for
infected
patients
. [
C0547608
] [
ORC
_
07050
.
03
]
----
Avoid
exposure
to
stagnant
water
. [
C0547611
] [
ORC
_
07050
.
06
]
----
Avoid
mechanical
and
chemical
trauma
to
freshly
grafted
areas
. [
C0548345
] [
ORC
_
18340
.
10
]
----
Avoid
obstructing
patient
's
view
. [
C0548242
] [
ORC
_
17200
.
01
]
----
Avoid
or
minimize
factors
that
lead
to
increase
in
intracranial
pressure
. [
C0547932
] [
ORC
_
11250
.
00
]
----
Avoid
prolonged
hip
and
knee
flexion
. [
C0547131
] [
ORC
_
00120
.
03
]
----
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