Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Timely Response
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ICU RN
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Respiratory Therapist
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Hospitalist
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Lab
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ADON
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EKG
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Neurologist
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Other
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Was patient already receiving respiratory treatments and/or oxygen?
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Vascular Access
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No Issues
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Delay
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Infiltration/Disconnection
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Medications/Respiratory Treatments
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No issues
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Delay
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Selection
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Dose
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Equipment/Supply Issues
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No issues
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Availability
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Function
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Comments
