Patient Name: Bowman, Harriet

DOB: 5/29/73
MRN: 987571
Allergies: No Known Drug Allergies
Medical History: Diabetes Type 1

Time Provider Notes
0800 Mary Rolland, RN Assumed care of patient at 0700. Patient admitted for GI illness and reports they have need been eating or sleeping as much as they usually do. Brought meal tray to patient, checked POC blood glucose and administered insulin as ordered. Patient states, "leave me alone I just want to sleep!" Agreed to let patient sleep and come take vital signs in a bit. Patient resting comfortably at this time.
Status Time Ordering Physician Order
Active- Completed 0700 Perry James, MD Sliding scale insulin
Active- Completed 0700 Perry James, MD POC Blood Glucose

Sliding Scale Insulin- Moderate (see hospital policy)

Time 0600
Heart Rate 101
Blood Pressure 108/70
Respiratory Rate 17
Pulse Ox 98% on Room Air
Temperature 98.6 F Oral
Pain NOT ASSESSED

POC Glucose

Lab Result Tested Value Normal Value Range
POC Glucose 62 70-100
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