No route/line detail, no blood return, no dressing/flush, no response — the covered procedure is under-documented.
The PICC model note in §3: the medication and central route, blood return, the site and dated dressing, the flush, and the reason licensed administration was required.
“JP drain to bulb suction.”
No output volume/character, no site, no trend.
“JP drain patent with serosanguineous output of decreasing volume (vs prior), site clean, bulb compressed to suction, secured.”
“IV site red.”
No action, no notification, no continuation plan.
The line-complication model note in §4: the site findings, the infusion held and the line discontinued, the site care, SBAR, and the new-access/culture orders.
