Cardio. Vascular Cyanosis (see e); lower extremity edema (see g); weight; pedal pulses (see d); lung sounds. Pulmonary Respiratory rate; work of breathing; cyanosis (see e); lung sounds. Diabetes Check daily blood sugars for first two weeks of care; then per MD instructions; appetite/intake changes; check feet for redness/breakdown. Post- Operative Diagnosis Bowel regularity; wound site/surrounding tissue; pulses distal to the incision site (see d); Xxxxx’x sign test (see f). Decreased Activity Level Bowel regularity; appetite/intake changes; inspect skin for redness/breakdown, Xxxxx’x sign test (see f). When evaluating the peripheral arterial pulses, when applicable, the pulses should be examined bilaterally and graded as to quality of the impulse on a scale from 0 to 4 with 2 being normal, 0 absent; 1 weak, 2 normal, 3 increased and 4 bounding (Xxxxx, Xxxxxx, & Xxxxxx, 2013). When assessing a patient’s skin, use natural light or a halogen light rather than fluorescent light, which may alter the skin’s true color and give the illusion of a bluish tint – note also that with dark-skinned patients cyanosis may present as gray or pale (not bluish) skin. A positive Xxxxx’x sign (calf pain at dorsiflexion of the foot) is thought to be associated with the presence of thrombosis. However, Xxxxx’x sign has a limited predictive value for the presence or absence of deep vein thrombosis – It is estimated to have a sensitivity of 60-88% and a specificity of 30-72% (Xxxxxx, Xxxxxxxxxx, & Xxxxxxxx, 2005; 35(3)) and for this reason our policy is to notify physician always when DVT is suspected – even if Xxxxx’x sign is negative. Pitting edema is graded on a scale of one to four. Many different edema grading systems are available. The recommended grading system below is based on the dent depth and rebound time (Xxxxx, 2007):
Cardio. Pulmonary Resuscitation (CPR) re-certification shall be made available at no charge to those Employees who must maintain current CPR certification as a condition of employment. Employees who receive approval from the Employer to attend such sessions shall be paid at the applicable rate of pay.
Cardio drumming, social emotional learning, movement breaks, dance, yoga, gymnastics, stretching, drumsticks Does Vendor's parent company or majority owner:
(A) have its principal place of business in Texas; or (B) employ at least 500 persons in Texas? Texas Education Code Section 44.031 requires that this information be considered in evaluation for certain contracts. However, Vendor response does not affect points, scoring, or potential award. Yes In what city is Vendor's principal place of business located? Austin In what state is Vendor's principal place of business located?
