Lines Drains Devices

Printing and PDF export are disabled for this protected preview. Continue reading inside the DiraChart reader.

Trace DC14-22

DiraChart Clinical Reference
Protected section 22 of 25
← Document menu
Home Care · DiraChart

1. Purpose and clinical relevance

DiraChart Clinical Reference

Section NavigationPart 22 of 25PreviousNext

Smart phrases

EMR dot-phrases; replace merge fields in braces. These supplement — not duplicate — the parent and overlay phrases. Chart only the elements actually assessed.

.DEV_SITE

[Device, size, lumens], inserted [date]; site [clean/dry/intact or erythema/swelling/drainage/bleeding]; securement [intact]; external length/marking [unchanged/changed].

.DEV_PATENCY

Patency: flushed [without resistance/resistance]; blood return [brisk/absent]; [enteral residual]; assessment [patent/occluded/malposition]; [action].

.DEV_DRESS

Sterile no-touch dressing change with [antiseptic] per order; dressing clean/dry/intact, labeled and dated; next change [schedule].

.DEV_OUTPUT

[Drain/feeding]: output/volume [amount], character [described], tolerance [described]; trend [described] toward [goal/removal criteria].

.DEV_COMPLICATION

Complication surveillance: [infection/occlusion/dislodgement/infiltration/thrombosis/air-embolism risk]; assessment [none/described]; [action/notification].

.DEV_TEACH

Taught [site care/flushing/dislodgement response/feeding-infusion administration]; [patient/caregiver] return-demonstrated [result]; gaps [none/described].

.DEV_NOTIFY

Provider notified at [time] of [finding]; orders received: [orders]; follow-through [completed/scheduled]; reassess [parameter] next visit.

Section NavigationPart 22 of 25PreviousNext