Policy Manual sample

MDT Home Health Care Agency, Inc. Factors to be charted: BREATH: 1. Unpleasant 2. Foul 3. With sweet, fruit-like odor 4. Smells of alcohol BREATHING 1. Act of breathing 2. Act of inhaling 3. Act of exhaling 4. Difficult breathing 5.Short period when breathing ceases 6. Inability to breathe while lying down 7. Normal breathing 8. Rapid breathing 9. Increasing dyspnea with periods of apnea 10. Large volume of air inspired 11. Small volume of air inspired 12. Abnormal variations in rhythm 13. Suffocation CARE: 1. Wash face and hands, mouth, toilette, bedpan 2. Wash hands, face and back, back rub, bedpan, mouth care 3. Special attention or treatment of mouth, back, or other areas Suggested terms to use: 1. Halitosis 2. Fetid 3. Fruity, sweet 4. Alcoholic 1 Respiration 2. Inspiration 3. Expiration 4. Dyspnea 5. Apnea 6. Orthopnea 7. Eupnea 8. Tachypnea 9. Cheyne-Stokes respiration 10. Deep breathing, hyper-ventilation 11. Shallow breathing, hypo-ventilation 12. Irregular respiration 13. Asphyxia 1. Early A.M. care 2. P. M. care 3. Special care to (area) Home Health Agency Nursing Manual J-14