No thrill/bruit, no volume status, no access protection, no skilled rationale.
The ESRD model note in §3: fistula thrill/bruit, access-limb protection, volume/weight status vs the dry-weight target, and the reason daily renal observation was required.
“I&O recorded.”
The numbers without interpretation against the parameter.
“Net intake/output balanced against the ordered parameter; weight at the dry-weight target; no edema — volume status stable.”
“Weight up 3 lb.”
No volume assessment, no action.
The overload model note in §4: weight gain with edema/crackles/dyspnea, notification of provider/dialysis unit, labs, and monitoring.
