Nose Sinuses

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Trace DC87-13

DiraChart Clinical Reference
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1. Purpose and clinical relevance

DiraChart Clinical Reference

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Daily-note bank — routine skilled days

Scenario

Model daily note (edit to the shift)

Cannula nares care

Cannula delivering the ordered O₂ with nares intact (no septal/nares breakdown), padding per plan, mucosa moist with humidification. Skilled nares care to prevent a device pressure injury required; supports Section O. (Respiratory reference.)

Post-sinus-surgery care

Day 3: packing/splint in place per order without excessive saturation, mild oozing only, no fever, surgeon precautions (no nose-blowing/straining) observed. Skilled post-operative observation/precaution enforcement required; supports Section I.

NG-nares protection

NG tube secured with nares protected and rotated per plan, no pressure change at the naris, tube patent. Skilled nares/device care required; supports the goal. (Nutrition reference.)

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