I3428-VA Pittsburgh Healthcare System - Pre-flight request.pdf

PDF 5 MB Posted

Attached to
7110--Patient Room Information boards Federal contract opportunity
Solicitation number
36C24422Q0942
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 4

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36C24422Q0942 A00003.docx DOCX document
36C24422Q0942 A00002.docx DOCX document
36C24422Q0942 A00001.docx DOCX document
36C24422Q0942.docx DOCX document
36C24422Q0942 LineItems.xlsx XLSX spreadsheet

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Text version

DATE APPROVED:

Product description:

APPROVED BY:

SHEET:DATE DRAWN:

EVS Markerboard

2022/01/11

DO NOT SCALE DRAWING

UNITS:

INCHESGeorge Haddad

DRAWN BY:

EganInk

EGAN VISUAL

Tel: (905) 851-2826

(800) 263-2316 Email: customerservice@egan.com

PRODUCT CODE: MES3624

I3428

PROPRIETARY AND CONFIDENTIAL:

THE INFORMATION CONTAINED IN THIS DRAWING IS THE SOLE PROPERTY

OF EGAN VISUAL ANY REPRODUCTION IN PART OR AS A WHOLE

WITHOUT THE WRITTEN PERMISSION OF EGAN VISUAL IS PROHIBITED.

EGAN INK# :

23 13/16” 35 3/4”

Today’s Goals

My Health Care Team

Team _________________________ Nurse ________________________ Tech _________________________

What I like to be called

Allergies ______________________ Diet __________________________ Intake __________ Output _______ Blood sugar ___________ @ _____

Med __________________________ Given ________________________ Next dose _____________________ My pain goal ___________________

Staff to initial when rounding each hour.

Room ____________________________ Phone __________________________________

Date ______________________________ SUN MON TUE WED THU FRI SAT

Injury Prevention

Q2h turning LAL pump

Other ______________________

Independent Assist x1 Assist x2 Fall Risk

No pain Hardly notice pain

Notice pain, does not interfere with activities

MILD

(Green)

MODERATE

(Yellow)

SEVERE

(Red)

Sometimes distracts me

Distracts me, can do usual activities

Interrupts some activities

Hard to ignore, avoid usual activities

Focus of attention, prevents doing daily activities

Awful, hard to do anything

Can’t bear the pain, unable to do anything

As bas as it could be, nothing else matters v 2.0

21 3 5 6 7 8 9 104

File details come from the government source that posted it. Updated .