.PV_NORMAL

Skilled PV assessment: pulses DP/PT 2+ symmetric bilat; cap refill <3s; extremities warm/symmetric color; {no edema / baseline ___}; skin intact, no ulcers; no claudication/rest pain; no unilateral calf swelling/warmth. RN judgment applied to detect arterial/venous compromise given {dx}. Continued skilled monitoring indicated.

.PV_ASSESS

Pulses {site} {0–4+} {R/L}; cap refill {## s}; {pallor on elevation / dependent rubor / mottling}; temp {warm/cool} {R/L}; edema {1+–4+} {level}; calf circ {R/L ## cm}; claudication after {## ft}; ulcer {site/characteristics}.

.PV_SKILL

Doppler pulse check {site}; compression applied/adjusted per order with skin check; positioning per order {elevation/neutral}; wound care per order; reconciled anticoag/antiplatelet with bleeding/interaction screen.

.PV_TEACH

Reviewed {foot inspection/compression schedule/elevation vs avoidance/walking program/bleeding precautions/ALI & DVT warning signs} with {patient/caregiver}; method {teach-back/return-demo}; mastery {##}%; AVS provided.

.PV_COORD

Provider notified at {time} re {pulse/temp/swelling/pain meeting parameter}; reported {content}; order received {ABI/duplex/INR/eval}; patient response {response}; reassessment {when}.

.PV_SAFETY

Call for new cold/pale/painful extremity, unilateral calf swelling/warmth, non-healing or draining ulcer, or signs of bleeding; 911 for the six P's of limb ischemia or signs of PE (SOB, chest pain).

.PV_HOMEBOUND

Homebound: claudication/edema limit ambulation to ~{##} ft; requires {device/assist} and rest after exertion; leaving home a considerable and taxing effort.

.PV_NECESSITY

Skilled nursing required today to {skilled action} for {RN-level reason} given {dx}, resulting in {measurable effect}.