TIME PATIENT PROGRESS RECORD
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PATIENT
EDUCATION
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LEARNING NEED
PT./S.O. INSTRUCTED ACCORDING TO/TOOLS USED:
TEACHING PROTOCOL VIDEO
CLASS HAND-OUTS
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WAS S.O. PRESENT? YES NO RELATIONSHIP
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OUTCOMES:
VERBALIZED UNDERSTANDING YES NO
DEMONSTRATED SKILLS YES NO
REQUIRES FOLLOW-UP / REFERRAL YES NO
7AM Patient in posey wearing soft resraint
one to one at Bed Side watching
Patient and dealing with Patient responses
8AM Patient now with Nursing attendant Ms. (illegible)
10AM Complete AM care done by Nursing
attendant all Needs met by NA & nurse
11AM Patient needed to be restrained on X4
12N(oon) Patient given Morphine 10mg as ordered
by M.D. Narcan at Bed Side IV
to be started by Doctor - LP
to be done by M.D. LP was not done
1PM Patient to be sent to ICU. Report given
to RN ativan given at 1PM I.V.P (intravenous push)
by Dr. Collins. Report Given to ICU nurse
Restraints loosen(ed) every 15 min(utes) as per restraint
protocol Patient Placed on stretcher to ICU
Signed (?lercalese)
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