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Jody Rush, 20 Y/O Female; SBAR,SOAP NOTE AND CAREPLAN Jody Rush, 20 y/o female, admitted for right femur fracture status post skiing accident.
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August 2024

2024/2025

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Jody Rush, 20 Y/O Female; SBAR,SOAP NOTE AND CAREPLAN Jody Rush, 20 y/o female, admitted for right femur fracture status post skiing accident. She is in a traction splint, and will be going for surgical repair today. Vital signs are BP 120/62 P 88 R 20 T 98.9 F, 37.2 C, PaO2 99. She has been in a lot of pain, and has been receiving 25 mcg IVP, q2 hours Fentanyl for pain. She was nauseated after her last Fentanyl dose, and the Dr. Ordered an additional 4mg IVP, Zofran. She has a history of e...
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