A Tale of Marriage, Medicine and Murder


This is a list of how often and where the term 'chart' appears in the book PERSONAL BAGGAGE.

Search result for 'chart' in PERSONAL BAGGAGE

Chapter 3: Chapter Three
"... that Dr. Scales receive training in subclavian insertion. Turning from his patient’s chart, Dr. Scales regarded Penny with tan, unfriendly eyes and lifted his lips into a curt grin as he dropped his foot to the floor and stood up. Penny questioned her distaste for him: she couldn’t ..."
"... and he had pushed to have Dr. Scales’s hospital privileges revoked. Dr. Ghent selected the charts of his two patients from the rack, then watched the door close behind Scales. “How’s it going with him, Penny?” “Fine this morning, but I never know when he’s going to explode about ..."
"...his nose to dilute the lingering odor of Brut. “Stay out of his way as much as you can. He’s going to self-destruct one day and you don’t want to be in the middle of his mess.” He turned to the lab section in one patient’s chart. “I wrote for labs at eight o’clock. Look: CBC and SMA at 8 a.m.” Irritated, he jabbed at his order with a ballpoint. “It’s nine and they’re not here!” ..."
"... black hair which tumbled back down over his glasses, then he turned and retreated out the door. Reaching over Dr. Ghent’s shoulder, Penny inserted the lab sheet into its proper place in the chart. “He’s a new duck,” the doctor said, flipping the chart pages back and forth between lab ..."
"... its proper place in the chart. “He’s a new duck,” the doctor said, flipping the chart pages back and forth between lab results and his orders. After seeing patients and completing his documentation, he leaned back in his chair to visit with the nurses. Penny related a happening with ..."
"... “What’s going on in here? Do you-all need some help?” We’re going to need a chart copied to send with a transfer,” Penny said. “It would be a big help if you’d come back in a few minutes and copy it for us.” Dr. Lawrence joined them. “I want him to go to Jacksonville ..."
"... Penny called Life Flight and notified Ambulance Service while Maureen gathered Dodson’s belongings. Desperate to catch up on her charting, Penny documented the sequence of events, realizing with a start as she noted the time that it had been forty minutes since Dr. Lawrence arrived. In ..."
"... blades. Dr. Lawrence strode into the Unit from the hall and motioned the helicopter personnel into the nurses’ lounge while Penny and Maureen adjusted Dodson’s pillows and his portable oxygen and the EMTs collected his personal belongings and the copied chart. Coming out of the ..."
"...Dr. Lawrence despised the plastic dividers kept in charts to separate lab results from doctors’ orders from nurses’ notes, etc. The nurses tried to check his charts in case someone had inserted dividers by mistake and to remove them before he made rounds because everybody’s day went better if Dr. Lawrence was happy. Finding dividers contaminating ..."
"...He made rounds after lunch so that results from tests he had ordered the day before would be completed and in his charts. However, one X-ray report was missing. He sighed and ripped open an alcohol swab to decontaminate his stethoscope while Penny phoned the radiologist to retrieve the results. Alarms from the telemetry monitors and the ringing telephone pushed him over the edge and he jumped up, slamming ..."

Chapter 4: Chapter Four
"...The phone startled them and Maureen, champion sticker of the hospital, agreed to start a difficult IV down the hall. She approached the Unit door as it swung open to admit Buck, who had come to chart results on some tests that had been sent to another hospital because the Dixiana lab lacked the equipment to run them. ..."
"... giggled like a school girl. “Both, if I can.” Later, her shift almost over, Penny completed her charting as the hall door crashed open and a wheelchair carrying a pale woman in street clothes sped in with Maureen behind, pushing hard. “Dr. Ghent dismissed her this morning and they ..."
"... gown, helped her to lie down, then connected her to the heart monitor. Maureen yelled over her shoulder as she rushed back out to the hall. “South’s calling Dr. Ghent. Start the IV while I get her chart!” With Maureen there as backup, Penny had grown accustomed to starting IVs in ..."
"...The chart contained a telephone order canceling the discharge and placing the woman in Critical Care. She was still short of breath after they had raised the head of her bed to a forty-five-degree angle. Her vital signs were within normal limits, but neither nurse could hear breath sounds ..."
"... low census. “Well, Maureen and I caught the problem fast, and Dr. Lawrence sent the guy for emergency surgery. Everybody helped; South even copied the chart for us.” Exhaustion overwhelmed Penny and she leaned down, slumped out of her chair, and stretched out on the floor. “Are you ..."
"...She lowered her hands and allowed him to hug her, then leaned back, “But I have to work so hard to remember everything—I’m afraid I’ll miss something important, or give the wrong drug, or even overdose somebody or something. I can’t read the charts or the monitors, much less the med labels without my bifocals, and the tops of my ears hurt from these stupid glasses...” She paused for breath and ripped off her glasses with one hand. ..."

Chapter 5: Chapter Five
"...Maureen bathed Sylvia and wheeled her to the floor while Penny combined a bath and linen change with her assessment of Mrs. Chumley. Penny collected Sylvia’s meds and her chart in preparation for going out to give Report to South when Maureen returned, since both nurses could not be out of the Unit at the same time. ..."
"...The supervisor notified ambulance service and carried the chart to South’s copier while Penny telephoned Report to the Jacksonville Neurology Unit. Maureen woke the patient, pulled the privacy curtain, and helped her onto a bed-pan. Dr. Scales ushered the family into the Unit, and they waited outside the hanging screen until she had finished voiding. ..."
"...Maureen was working on the stack of telemetry rhythm strips, interpreting them in preparation for taping them onto sheets in the charts at South Station, when Penny slumped into the chair beside her and began to sort through Mrs. Spoonhouse’s dismantled chart, looking for the nurses’ notes. “What do you suppose Dr. Scales told that family?” ..."

Chapter 9: Chapter Nine
"... think it would be depressing to work up there.” “Oh no, there’s so much to learn! I’m just starting to get the hang of computer charting, and now I have to go to an in-service on how to retrieve lab and radiology results.” “Does everybody get along?” Kerri asked. “Sure. ..."
"...Penny approached the nurses’ area where Dr. Child stood with his back to the elevator, his patient’s chart resting open before him on the counter. He thrust the chart across the counter at Maria and complained, “You mean to tell me you’re infusing the second unit of blood now? What does my order say?” ..."
"... almost four hours ago and the second unit is not quite finished. Do you want me to stop it?” “What does my order say?” The baby doctor pointed to the chart, his voice mocking Penny. Maria leaned forward, reading the scribbles. “IV?” she suggested. “One unit! One unit! How ..."
"... authority on everything. “Wait,” he called to Maria as he sauntered to the desk and picked up the chart for Dr. Child’s patient. “I understand that you-all are trying to kill patients up here! You’d better tell me what happened; I need an incident report.” “Dr. Child’s orders ..."
"...On the other side of the fourth floor, the nurses were gathered behind a counter that defined their station. In the center of the area a circular desk held a revolving double-decker rack bearing the patients’ charts. Leroy Crouch sat down at the desk and a sniffling nurse in her sixties handed him a chart. ..."
"... crying. “What happened over here?” Penny asked her. “I’ll tell you, but first I need to hang a piggyback. Why don’t you chart your stick, and then I’ll walk you back to Oncology. I want to go down to the cafeteria anyway.” Maria had left by the time the nurse from Fourth ..."

Chapter 11: Chapter Eleven
"... As Penny and Flossie Mae stood before the linen closet, a lab tech named Louise entered the Unit to chart some test results. “You might want to let your visitors in,” Louise said. “One lady’s brought a plate of homemade breakfast rolls for you and they do look good!” Penny ..."
"... nurse to check his vital signs, and she telephoned Dr. Scales to describe the heart pattern. “Then he needs a pacemaker, doesn’t he, Mrs. Pewitt? Copy the chart. I’m coming to transfer him.” Penny sorted the pile of print-outs which had curled up on the desk and taped them in order ..."
"... coming to transfer him.” Penny sorted the pile of print-outs which had curled up on the desk and taped them in order onto a sheet to put into Mr. Tribble’s chart so copies could be made to go with the patient to Jacksonville for the cardiologist to interpret. Mrs. Gwen brought the man’s ..."
"... for the cardiologist to interpret. Mrs. Gwen brought the man’s chart into CCU from South Station so Penny could write the phone order and took the chart and Flossie Mae out to South to demonstrate the way a transfer should be accomplished. After a while, Dr. Scales arrived to check ..."
"... the way a transfer should be accomplished. After a while, Dr. Scales arrived to check on his CCU patient and glanced at Penny as though she had leprosy. He picked up Mr. Aceworth’s chart and stalked to bed seven for a visit. Scales had ordered daily subcutaneous injections of ..."
"... blood coagulation. In a few minutes, Dr. Scales returned to the desk and wrote an order discontinuing Heparin and prescribing Vitamin K, the antidote for Heparin overdose. He laid the chart, open to his order, in front of Penny with a stiff, “Thank you, Mrs. Pewitt.” The doctor had left ..."
"... ready for a transfer. We need to get her on up there by ambulance.” Penny called Respiratory to do the EKG, then asked South Station’s unit secretary to bring the charts of the patients in rooms 301 and 306 to CCU. It was not all Penny’s fault because it would not have happened if ..."
"...It was not all Penny’s fault because it would not have happened if somebody else had not mislabeled the monitors. Now there was nothing to do but to correct the mistake. Penny would have to exchange the monitor strips from last night and today on the two charts—these were the only ones she knew for sure were wrong. ..."
"... the only ones she knew for sure were wrong. On Mrs. Sasser’s chart she wrote the order for a STAT EKG, then paged Mrs. Gwen. “I need a chart copied,” Penny said. “Dr. Lawrence is coming to send Bridget Sasser to Jacksonville for a pacer.” “You’re keeping me busy today!” the ..."
"... then he smiled. “And I like to be waited on by pretty nurses.” Penny slowly injected the liquid vitamin into a port on his IV line, then flushed behind it with normal saline and returned to the desk to finish charting. When the loud alarm sounded at bed seven, she looked at Mr. ..."
"... his chest: “One two three four five breathe, one two three four five breathe.” Dr. Lawrence, the nearest physician, strode to the bedside, flipping pages in the chart. “Has anyone notified Dr. Scales?” “I’m ringing him now,” Mrs. Gwen called from the desk. Penny tried to think ..."
"... have to put on the pads so she could shock him and someone must write the code record. “There’s a living will on this chart but I don’t see a No Code order. Is that right?” Dr. Lawrence asked Penny. “Dr. Scales didn’t want to write one,” Penny said as she tore open the plastic ..."

Chapter 12: Chapter Twelve
"... would be more than she bargained for. As quickly as they had come to help, members of the code team returned to their own departments and Penny was left with Dr. Scales. She stood at the desk while he phoned Mr. Aceworth’s family and scribbled in the chart. Finally, he spoke to her. “How ..."
"... he spoke to her. “How did it happen?” Penny’s eyes burned but she did not cry. “I had just given him the Vitamin K. I flushed the line with normal saline, walked over here to the desk, and sat down to finish charting...and he arrested!” “It was an embolus then.” Dr. Scales ..."
"...Alone at the desk, Penny picked up the chart. “Had she flushed too fast? Dr. Scales must think that when she flushed the line she had dislodged a clot, and Mr. Aceworth’s circulating blood had picked it up and carried it into a smaller vessel where it lodged and blocked blood flow to his heart. ..."
"...After giving Report on the CCU patient and two telemetry patients, Penny dismantled Mr. Aceworth’s chart. She taped the defibrillator print-outs in correct sequence onto a sheet, and completed the code form describing the occurrence and the measures taken. Night shift would close out the nurses’ notes after the funeral home picked up the body. She placed the medication sheet behind its ..."

Chapter 13: Chapter Thirteen
"... the lounge. “Which of you has the new patient?” Barb raised her hand. “I’ve done her admission and started the IV for you, but I haven’t charted my needle stick in the computer. Will you do it?” “I can’t do that—we’re not allowed to chart for each other,” Barb said, ..."
"...“I can’t do that—we’re not allowed to chart for each other,” Barb said, frowning as the exasperated nurse rushed out. With a helpless expression, Barb looked at Penny and shrugged. “I don’t know the places she stuck, and if I put in my access code, everything I enter is attributed to me.” ..."
"...Steering clear of the computer where Dr. Scales was working, Penny entered the medicine room and checked her patients’ Medication Administration Records as Dr. Benny Benson approached, holding out a chart for her to see. Penny, pivoting suddenly and misjudging the distance, knocked the chart with her arm. ..."
"... chart with her arm. “Watch out there,” Dr. Benson laughed, grabbing the chart. The short black physician with his ratatat laugh was one of Penny’s favorites, but she would be hard pressed to choose between the two oncologists who attended most of their patients. “I just wanted to ..."
"... to tell me now, Penny, so I won’t be hearing from you at four in the morning?” “Darlina still has diarrhea, and be sure to look at the new labs on Mrs. Parker’s chart—her white count’s way up.” “Didn’t we put her on steroids this morning?” He flipped the chart’s pages ..."
"... up.” “Didn’t we put her on steroids this morning?” He flipped the chart’s pages back to his order sheet. “Yes! Steroids will elevate the WBCs and the glucose...her blood sugar is up, too. I’ll order finger sticks before meals until we see where she is. Thanks.” Penny ..."
"... Penny approached the desk to enter Darlina’s assessment and vital signs into a computer. Maria looked up from a stack of charts. “Did you see the latest memo? I stuck it inside the bathroom door.” Penny grimaced. So many E-mail notices came out every day that it would take an extra half ..."
"... ear, “What happened with Dr. Child?” “He didn’t keep his charts caught up, and he raised a ruckus everywhere he went. I heard he left to visit his sick mother and didn’t come back; ‘course we’ll never know the real story.” As Penny stepped around the end of the counter ..."
"... next assignment. “They’re pulling me back to Third for AM admissions,” she said. “The kid you gave me is okay, Penny. His mother spent the night so she helps him. I’ve changed his dressing, given all his meds, caught his chart up, and written out your Report.” “It’s too bad ..."

Chapter 15: Chapter Fifteen
"...“I put that in there for you myself,” Maria said. “It’s fresh as it can be!” When there was no reply from the room, Maria said, “Your nurse will be right back.” For once, Maria was frustrated. “I need to put her chart together before Dr. Hutton gets here and writes more orders! I haven’t processed the ones from ER yet, and with so much ruckus about overtime, I’ve got to clock out no later than eleven tonight. I guess you noticed they’ve moved our time-clock to this floor so ..."

Chapter 16: Chapter Sixteen
"... Carolina, and they have living wills.” Penny interjected, “David, please be sure Daddy has a No Code doctor’s order on his chart. Even if a patient has a living will, without the order we have to start a code until we reach the doctor.” “Okay, thanks—I didn’t know that.... I ..."
"...Buck Dalton, wearing a rumpled lab coat, slouched in as Penny assembled the new chart. Like a man who had lost his way, Buck glanced here and there with anxiety. “Richard Head,” he said, shifting his gaze to the chart in Penny’s hand. “Here’s his labs. I knew you’d want them in a push so I came personally.” ..."
"... out some things, copy some files, and get my money. I’ve taken care of myself before, sweetie...I can do it again.” “How will you know which charts to copy?” “Medicare and Medicaid have guidelines you have to meet. So do insurance companies, but most of our patients don’t have ..."
"...“Medicare and Medicaid have guidelines you have to meet. So do insurance companies, but most of our patients don’t have insurance. In the chart notes, the patient’s symptoms must match the diagnosis and the treatment. So I’ll look up the billing code to see what Dr. Scales billed for and compare that to my notes in the chart about the symptoms and treatment. I’ll check to see if the symptoms ..."

Chapter 17: Chapter Seventeen
"...After discharging the body to a funeral home and closing out the chart, Penny picked up a magazine and read about a haunted country church whose ghost would not allow the pulpit Bible to be moved. People who had tried to carry it away insisted that it became heavier and heavier, until it was impossible to hold. ..."
"... to the left. Penny located Mrs. Baucom’s chart at South Station’s desk. She straightened her back, sucked in her abdominals with determination, and moved into a space where trouble resided. Goose bumps blossomed on her arms as she reached for the phone and dialed Dr. Scales. “I ..."
"...The supervisor left to write Scales’s orders on the chart at South Station. Penny turned down the bed closest to the hall door and warmed up the over-bed monitor. Unable to sit down, she straightened the desk and the nurses’ lounge, then began to scribble an account of the progression of events leading up to Mrs. Baucom’s ..."

Chapter 18: Chapter Eighteen
"... minutes.” When Maureen’s transfusions were completed, Penny medicated her for sleep and pain and returned to the nurses station. After catching up on charting, she tried to read her E-mails, struggling to stay awake. Most of the notices seemed unimportant until she read: Effective ..."
"...Her mind jumped to Buck. How on earth could he afford a house? With Dr. Scales on probation at Jacksonville, Buck shouldn’t be counting on much help from him—unless Scales’s probation was not that serious. Maybe he was just behind on his charts or something minor like that. As Maureen would say: “Neither one of them is the sharpest scalpel in the autoclave.” ..."

Chapter 19: Chapter Nineteen
"...The BAD drip was off for fifty minutes while the platelets infused, and Penny had started it back at half its previous speed. When she reentered the room after charting her assessments, Maureen moved her legs restlessly and rubbed her forehead, so Penny rechecked her vital signs and increased the drip rate. ..."

Chapter 20: Chapter Twenty
"...“Buck’s been with us for about two months. Um, he’s had neuro and ortho and abdominal surgeries...I see seven surgical summaries in his chart. He’s on a ventilator and won’t cooperate, so it’s hard to evaluate his mental status. We’re sending the chart summary and his latest labs and X-rays. He’s got an IV with half normal saline at 25 cc’s an hour and a continuous tube feeding. ..."
"... failed to breathe, the ventilator would alarm. Penny performed the admitting assessment, making sure the IV, tube feeding, and ventilator settings were right, then she assembled his chart and processed his orders, dreading Dr. Scales’s visit. Buck was asleep when Dr. Scales unlocked the ..."
"... dreading Dr. Scales’s visit. Buck was asleep when Dr. Scales unlocked the outside door in the late afternoon. He shuffled the pages of his patient’s chart, then smiled at Penny. “Is there anything I forgot? Anything else you need, Mrs. Pewitt?” When Penny shook her head, he ..."
"... three times without success, and were performing CPR when the ER physician arrived with the code team. “Tell me about this patient,” he said, flipping through the chart. Penny gave him a fast summary, ending with, “I gave Buck 6 mgs of morphine about an hour ago because he was ..."

"...Redirecting her mind, she picked up the patient’s chart. The ­little girl had been brought in last night with diarrhea and dehydration. The next-to-last order, written by Joan, was a phone order from Dr. Scales: “Give 1500cc IV fluid by clysis.” Penny had administered fluids into a patient’s tissues when there was no IV ..."
"... some oxygen with her gasps. After thirty minutes, Loretta’s skin had pinked up and she breathed more easily. Leaving Joan in the room, Penny trudged back to the desk. Hansel Hall, Director of Respiratory Therapy, had arrived to check the charts for new orders. “Mr. Hall, I set up oxygen ..."
"... Presently, Scales arrived. He took off his suit coat and laid it over the back of one of the desk chairs. Penny handed him Loretta’s chart, opened to the new lab values which showed her blood sugar to be dangerously high. “We haven’t been able to get a urine specimen yet,” she told him. ..."
"... she told him. He stood with his legs apart like a medical beast tearing into the chart. Then, ignoring Penny, he spoke to Anna. “Get an infant catheter kit and come with me.” When Anna returned with the kit, he snapped his fingers at her and led the way to 104. Dr. Scales ordered ..."

"...“Well, yeah, that’s another reason I shouldn’t be here,” Flossie Mae said. “I have an appointment with a lawyer tomorrow morning to give a deposition and turn over my chart records—they promised to keep me out of it. I don’t think Dr. Scales knows I’ve talked to them; there’s no telling what he’d do if he found out.” ..."
"... like ER found a good vein for your IV.” Carina had assembled Flossie Mae’s chart and was entering her diet and lab tests into the computer when Penny returned to the desk. “She has an order for vital signs every two hours,” Carina whispered. Penny looked at her. “You’ve lost your ..."
"... got to be agonizing!” Satisfied that Flossie Mae was finally asleep, Penny checked her morning labs and caught up on her charting. Then she walked to room 403, which smelled like a sewer. “Would you like me to check your labs for you?” she asked Carina. “I already did them, but ..."

"...Carina came into the room. “Joyce is here early and she says that if you sign out your little charts, she’ll take over your patients so you can go home. I need to stay and find somebody to trade a shift with me next week. I’ve already checked your schedule, baby, you can’t do it because you’ll be working.” ..."

Search result for 'chart' in the FAQs of PERSONAL BAGGAGE

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Search result for 'chart' in Glossary of PERSONAL BAGGAGE


"A nurse juggles jobs at two Mississippi hospitals, aging parents and a stressed marriage in McMillion's novel .... a comprehensive..."

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