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lets record some normal values on our vital signs trend and trigger record im just going to write them all up here so we can refer to these values as we document along lets say the blood pressure was 118 over 78. temperature is 36.7 pulse is 83 respiratory rate 16 oxygen saturation 98 on room air remember ra stands for room air okay now if you look at this portion over here it says most and date we dont really need to bother with this too much at the moment that just stands for medical orders for scope of treatment which is basically what is your patients code status and if their code status has changed when did it change and or the date that it changed so youll write that on here and then just down below over here this is also where we would write what our goals are for our patient and again we wont bother with that for today but just a quick example would be if our patient had copd for example our goal of treatment is not to maintain their oxygen saturation at a level thats
