ROSE emr

Elmer Crawford
92-year-old Caucasian Male

1933-11-29

Allergies:	Penicillin
Code Status:	Full Code

Note	Authors	Written
Progress Note - Physician	Brandon Stoneman, RN	1991-11-22 15:00
Progress Note - Physician	Brandon Stoneman, RN	1991-11-22 13:30
Progress Note - Physician	Brandon Stoneman, RN	1991-11-22 03:00
Progress Note - Physician	Brandon Stoneman, RN	1991-11-22 03:00
Progress Note - Physician	Courtney Hall, PT	1991-11-22 00:00
Nursing - Progress Note	Karen Pontiff, RN	1991-11-22 00:00
Cardiology - Consult	Susie Piper, RN	1991-11-22 00:00
Nursing - Progress Note	Bryan J. Donald, PharmD	1991-11-21 23:30
Nursing - Progress Note	Brandon Stoneman, RN	1991-11-21 23:30
Nursing - Progress Note	Brandon Stoneman, RN	1991-11-21 15:30
Nursing - Progress Note	Brandon Stoneman, RN	1991-11-21 01:30
Cardiology - Consult	Courtney Hall, PT	1991-11-21 00:00
Progress Note - Physician	Donna Salestrip, PT	1991-11-21 00:00
Nursing - Progress Note	Karen Pontiff, RN	1991-11-21 00:00
Progress Note - Physician	Courtney Hall, PT	1991-11-20 00:00
Progress Note - Physician	Steph Howell, PT	1991-11-20 00:00
Cardiac - Progress Note	Willey Bestman, MD	1991-11-20 00:00
Nursing - Progress Note	Cathy McRay, RN	1991-11-19 23:30
Cardiology - Consult	Cathy McRay, RN	1991-11-19 23:00
Nursing - Progress Note	Cathy McRay, RN	1991-11-19 15:30
Cardiology - Consult	Cathy McRay, RN	1991-11-19 07:30
Progress Note - Physician	James Barry, MD	1991-11-19 00:00
Progress Note - Physician	Courtney Hall, PT	1991-11-19 00:00
Progress Note - Physician	JC Haddock, PT	1991-11-19 00:00
Nursing - Progress Note	Cathy McRay, RN	1991-11-18 22:30
Cardiology - Consult	Jerome Ruskin, MD	1991-11-18 18:30
Cardiology - Consult	Jerome Ruskin, MD	1991-11-18 18:30
Progress Note - Physician	Bryan J. Donald, PharmD	1991-11-18 18:00
Progress Note - Physician	James Barry, MD	1991-11-18 14:15
Cardiology - Consult	Mark Shogry, MD	1991-11-18 14:00
Progress Note - Physician	Mitch Ray, MD	1991-11-18 13:30
Nursing - Progress Note	Chris Tadwell, RN	1991-11-18 07:30
Progress Note - Physician	James Barry, MD	1991-11-18 00:00
Progress Notes - Physician	James Barry, MD	1991-11-18 00:00
Progress Notes - Physician	James Barry, MD	1991-11-17 00:00
Nursing - Progress Note	Chris Tadwell, RN	1991-11-16 23:30
Progress Note - Physician	James Barry, MD	1991-11-16 00:00
Progress Note - Physician	Willey Bestman, MD	1991-11-16 00:00
Cardiology - Consult	JC Haddock, PT	1991-11-16 00:00
Progress Note - Physician	JC Haddock, PT	1991-11-16 00:00
Progress Note - Physician	Courtney Hall, PT	1991-11-15 00:00
Progress Note - Physician	James Barry, MD	1991-11-15 00:00
Nursing - Progress Note	Karen Pontiff, RN	1991-11-15 00:00
Progress Note - Physician	JC Haddock, PT	1991-11-15 00:00
Dietitian - Progress Notes	Andrew Shamp, MPH, RD	1991-11-14 10:30
Progress Note - Physician	Courtney Hall, PT	1991-11-14 00:00
Pharmacy - Progress Notes	Rick McKinner, RPh	1991-11-14 00:00
Nursing - Progress Note	Susie Piper, RN	1991-11-14 00:00
Progress Note - Physician	JC Haddock, PT	1991-11-14 00:00
Cardiology - Consult	Willey Bestman, MD	1991-11-13 00:00
Progress Note - Physician	James Barry, MD	1991-11-13 00:00
Cardiology - Consult	Karen Pontiff, RN	1991-11-12 00:00
Progress Note - Physician	Courtney Hall, PT	1991-11-12 00:00
Pharmacy - Progress Notes	Jim Donovan, RPh	1991-11-11 02:00
Progress Notes - Physician	Bryan J. Donald, PharmD	1991-11-11 00:00
Progress Note - Physician	James Barry, MD	1991-11-10 00:00
Cardiology - Consult	Andrew Shamp, MPH, RD	1991-11-09 01:29
Progress Note - Physician	James Barry, MD	1991-11-09 00:00
Progress Note - Physician	Willey Bestman, MD	1991-11-09 00:00
Cardiology - Consult	Willey Bestman, MD	1991-11-08 00:00
Pharmacy - Progress Notes	Andrea Angel, RPh	1991-11-07 01:00
Progress Note - Physician	Willey Bestman, MD	1991-11-07 00:00
Nursing - Progress Note	Karen Pontiff, RN	1991-11-07 00:00
Progress Note - Physician	James Barry, MD	1991-11-07 00:00
Progress Note - Physician	James Barry, MD	1991-11-06 00:00
Progress Note - Physician	JC Haddock, PT	1991-11-06 00:00
Dietitian - Progress Notes	Andrew Shamp, MPH, RD	1991-11-05 02:00
Progress Note - Physician	Stephen Blankenship, PT	1991-11-05 00:00
Progress Note - Physician	Willey Bestman, MD	1991-11-05 00:00
Pharmacy - Progress Notes	Andrea Angel, RPh	1991-11-04 02:15
Progress Note - Physician	Jacob Chladdocb, PT	1991-11-04 00:00
Nursing - Progress Note	Karen Pontiff, RN	1991-11-04 00:00
Nursing - Progress Note	Karen Pontiff, RN	1991-11-04 00:00
Cardiac - Progress Note	James Barry, MD	1991-11-03 00:00
Pharmacy - Progress Notes	Jim Donovan, RPh	1991-11-02 12:30
Progress Note - Physician	James Barry, MD	1991-11-02 00:00
Progress Note - Physician	James Barry, MD	1991-11-01 00:00
Pharmacy - Progress Notes	Jim Donovan, RPh	1991-11-01 00:00
Progress Note - Physician	James Barry, MD	1991-11-01 00:00
Cardiac - Progress Note	Spencer Tilley, MD	1991-11-01 00:00
Nursing - Progress Note	Karen Pontiff, RN	1991-11-01 00:00
Progress Note - Physician	Karen Pontiff, RN	1991-11-01 00:00
Progress Note - Physician	James Barry, MD	1991-10-31 00:00
Cardiac - Progress Note	Karen Pontiff, RN	1991-10-31 00:00
Progress Note - Physician	James Barry, MD	1991-10-30 00:00
Cardiac - Progress Note	Spencer Tilley, MD	1991-10-30 00:00
Progress Note - Physician	James Barry, MD	1991-10-29 00:00
Progress Note - Physician	James Barry, MD	1991-10-29 00:00
Pharmacy - Progress Notes	Robert Alhebert, PharmD	1991-10-29 00:00
Dietitian - Progress Notes	Andrew Shamp, MPH, RD	1991-10-29 00:00
Cardiac - Progress Note	Spencer Tilley, MD	1991-10-28 05:25
Pharmacy - Progress Notes	Jim Donovan, RPh	1991-10-28 04:00
Progress Note - Physician	James Barry, MD	1991-10-27 00:00
Nursing - Progress Note	Sandra Roach, RN	1991-10-26 00:00
Pharmacy - Progress Notes	Robert Alhebert, PharmD	1991-10-26 00:00
Pharmacy - Progress Notes	Robert Alhebert, PharmD	1991-10-25 12:30
Dietitian - Progress Notes	Andrew Shamp, MPH, RD	1991-10-25 10:10
Pharmacy - Progress Notes	Robert Alhebert, PharmD	1991-10-25 01:00
Progress Note - Physician	James Barry, MD	1991-10-25 00:00
Pharmacy - Progress Notes	Robert Alhebert, PharmD	1991-10-25 00:00
Pharmacy - Progress Notes	Robert Alhebert, PharmD	1991-10-25 00:00
Cardiac - Progress Note	Spencer Tilley, MD	1991-10-25 00:00
Progress Note - Physician	Jacob Chladdocb, PT	1991-10-25 00:00
Progress Note - Physician	Stephen Blankenship, PT	1991-10-24 00:00
Pharmacy - Progress Notes	Robert Alhebert, PharmD	1991-10-24 00:00
Pharmacy - Progress Notes	Robert Alhebert, PharmD	1991-10-24 00:00
Progress Note - Physician	James Barry, MD	1991-10-23 00:00
Cardiac - Progress Note	Spencer Tilley, MD	1991-10-23 00:00
Progress Note - Physician	Maigie Macy, PT	1991-10-23 00:00
Pharmacy - Progress Notes	Robert Alhebert, PharmD	1991-10-23 00:00
Progress Note - Physician	Chris Young, MD	1991-10-23 00:00
Dietitian - Progress Notes	Andrew Shamp, MPH, RD	1991-10-22 12:30
Progress Note - Physician	James Barry, MD	1991-10-22 00:00
Cardiology - Consult	Spencer Tilley, MD	1991-10-22 00:00
Pharmacy - Progress Notes	Robert Alhebert, PharmD	1991-10-22 00:00
Progress Note - Physician	James Barry, MD	1991-10-21 00:00
Progress Note - Physician	Jacob Chladdocb, PT	1991-10-21 00:00
Cardiology - Consult	Spencer Tilley, MD	1991-10-21 00:00
Cardiology - Consult	Spencer Tilley, MD	1991-10-20 12:00
Progress Note - Physician	James Barry, MD	1991-10-19 00:00
Cardiology - Consult	Spencer Tilley, MD	1991-10-19 00:00
Progress Note - Physician	Stephen Blankenship, PT	1991-10-19 00:00
Cardiology - Consult	Mark Shogry, MD	1991-10-18 14:00
Cardiology - Consult	Spencer Tilley, MD	1991-10-18 12:30
Pharmacy - Progress Notes	Donna Brooks, RPh	1991-10-18 07:15
Nursing - Progress Note	Sandra Roach, RN	1991-10-18 05:19
Surgery - Consult	Donna Brooks, RPh	1991-10-18 03:15
Progress Note - Physician	Courtney Hall, PT	1991-10-18 00:00
Pharmacy - Progress Notes	Donna Brooks, RPh	1991-10-18 00:00
Hydrotherapy - Consult	Courtney Hall, PT	1991-10-17 15:00
Radiology - Consult	Arthur F. Kriner, MD	1991-10-17 14:00
Dietitian - Progress Notes	Andrew Shamp, MPH, RD	1991-10-17 12:30
Pharmacy - Progress Notes	Tim Saishardl, RPh	1991-10-17 09:05
Pharmacy - Progress Notes	Donna Brooks, RPh	1991-10-17 00:00
Progress Note - Physician	Courtney Hall, PT	1991-10-17 00:00
Cardiology - Consult	James Barry, MD	1991-10-16 16:00
Pharmacy - Progress Notes	Tim Saishardl, RPh	1991-10-16 12:00
Progress Note - Physician	James Barry, MD	1991-10-16 00:00
Progress Note - Physician	Courtney Hall, PT	1991-10-16 00:00
Progress Note - Physician	James Barry, MD	1991-10-16 00:00
Medication Counseling - Pharmacy Note	Tim Saishardl, RPh	1991-10-15 12:15
Cardiology - Consult	Spencer Tilley, MD	1991-10-15 07:30
Progress Notes - Physician	James Barry, MD	1991-10-15 00:00
Radiology - Consult	Chuck Clark, MD	1991-10-14 12:00
Radiology - Consult	Chuck Clark, MD	1991-10-14 10:30
Surgery - Consult	William Tilley, MD	1991-10-14 05:00
Progress Notes - Physician	Sandra Roach, RN	1991-10-14 00:00
Progress Notes - Physician	April M. Stelly, PhIntern James Barry, MD	1991-10-14 00:00
Cardiology - Consult	Spencer Tilley, MD	1991-10-14 00:00
Cardiology - Consult	Spencer Tilley, MD	1991-10-14 00:00
Attending Physician - History and Physical Exam	James Barry, MD	1991-10-13 04:00

Note from Tim Saishardl, RPh at 1991-10-15 12:15

Pharmacy Re: Vancomycin

74 year old 68.5" 162 lbs (73.6kg) male IBW 69.6kg, DW 69.6 kg

S/P aortic angiogram with bifermoral off due to nonhealing ulcer in right ankle. Fenmoral graft performed.

T98 WBC 134 SCr 1.1 BUN 20 CX right ankle ulcer 10/1 grew abundant G + cocci with rare G+ rods. Received 1/2 mg in PACU at 1020am. Calc. ClCr= 57.9

Based on kinetic parameters loading dose = 1500 g. Therefore will bolus with 500 mg XI to acheive desired level of 30 micrograms/ml and then maintenance dose of 1250 mg every 24 hours. Will follow closely and check levels at Css to adjust.

Thanks,

Tim Saishardl, RPh

Signed by Tim Saishardl, RPh at 1991-10-15 12:15