{"text":"Acute Services Division \nAffix \nIRERIRRRRI \n5328 \nSurgery & Anaesthetics CLELLAND . \u00a2 \nAMAgnes 084 \nGG&C Day Surgery\/23 hour Care Plan 1139 Rennie Road 09\/1955 \n\u201cKilsyth \nTheatre DO Glasgow, Lanarkshire \nG65 9P \nSefte Roditening | Tl sarstitem NOT epplfetile 3 \nMoving aids used to move patient Yes [J Pat Slide o Sliding sheet [ Roll Board [ \nNo O Hover Mattress [ Other specify: O \u2019 \nPre-operative:skin issues \u2018Excoriation { '0 2 3 PUGrade: N\/A 1 2 3 4 \n( please circle ) Level: 3 \nArea of concern identified ( include area of body) Actions Taken \nPaxfiftom 1 \nTime: Positioning Devices Pressure Relieving | Arm Position \nSupine E{rone O [0 | Lateral supposts [ | Gelpags [ R Arm Position L'Arm Position \nLeft Lateral [ Right Lateral D< O Hydraulic leg Heelo At side D\u2018 At side \u2019D_ \nLoyd Davis L1 Jack-knite L1 [ | supports : Pads | On boards g\ufb02__@_\ufb02 boards E \nTren- Deckchair [T | we dge [J | Limb Traction | Full gel Across chest g Across chest 0 \nO Side Supports 1 Hand Table Hand Table \ndelenburg Sandbag [ | SideSupp mattress [ . . \n. O Hand Traction [ Hand Traction [ \nReverse Tren- Lower Limb Bolster Gel Wedge [ \ndelenberg [ Traction il | Secured with: Secured with: \n\u00a7 Hlows ' O straps O \nLithotomy [J Other 0 Straps p \n] Board o ) Board 1 \nPressure Care: Pressure Care: \nGel \/ Foam Pads L3\u2014Cel \/ Foam PadsEll \nFediftom 2 Vit seeien MOT appitetts O \nTime: Positioning Devices Pressure Relleving | Arm Position \nSupine O erone O | Headring [ | Lateral suppoits (1 | Gelpads [ R Arm Position L Arm Position \nLeftLateral [ Right Lateral L1 | piliows 1 | Hydraulic leg Heel gel At side B At side Ol \ntoyd Davis L[] Jack-knife [ | Straps [ | supports Pads On boards O On boards \nTren- Deckchair [ Wedge [ | Limb Traction O | rull gel Across chest Across chest \n: . mattress Hand Table [ Hand Table 0 \ndelenburg [ Sandbag [ | Side Supports O Hand Tract O Hand Tracti 0 \nReverse Tren- Lower Limb Bolster O [ Celwedge . and frac or on ract.lon \ndelenberg [ Traction . Pillows Secured with: O Secured with: 0 \nLithotomy [0 other O Straps Straps \n] Board [ | Board O \nPressure Care: Pressure Care: \nGel \/ Foam Pads Gel \/ Foam Pads \nElectrosurgery ' Vo saxditen NOT eppfitetts (J \nMonopolar Yes [ . N\/ O Bipolar Yes E'\/ Nna O \nSite(s) of Monopolar electrode \nSkin site(s) assessed and meets safety criteriaas | yes 1 If\u2018No\u2019 state reason: . \nper palicy No 0 , \nSkin site(s) hair removal Yes O State site: \nnva o O \nElectrode site(s) checked after patient Yes - O If \u2018No\u2019 state reason and-action: \nrepositioned and is satisfactory \n. No O \nN 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