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Room

Code
Isolation

Diagnosis


Past Medical History & Surgeries



Care Team

Allergies
Neuro

Cardio

Pulmo

GI Diet
Endo

0700 11/12 16/18 GU Activity
Ortho/Mobility

Precautions
Prophylaxis

Family Info/Issues
Skin

IVT

PRN









Labs/Dxc Tests









To Collect
Notes












Documentation 8 10 12 14 16 18 POC ___ Pt Edu ___




Room

Code
Isolation

Diagnosis


Past Medical History & Surgeries



Care Team

Allergies
Neuro

Cardio

Pulmo

GI Diet
Endo

0700 11/12 16/18 GU Activity
Ortho/Mobility

Precautions
Prophylaxis

Family Info/Issues
Skin

IVT

PRN









Labs/Dxc Tests









To Collect
Notes












Documentation 8 10 12 14 16 18 POC ___ Pt Edu ___




Room

Code
Isolation

Diagnosis


H&P



Notes













MD


Room

Code
Isolation

Diagnosis


H&P



Notes













MD