TIME PATIENT PROGRESS RECORD
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PATIENT
EDUCATION
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LEARNING NEED: Patient receiving ativan, agitated
alt(ternating) with lethargy unable to teach
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
8A/ resting comfortably Speaking with Psychiatrist
10A/ Medicated (?) with Ativan 4 mg IV vs (versus)
(?Haldol) continues to have restraints
loosened q 15 minutes
12N/ no change in condition vital signs stable
lethargic but arousable
2P/ continues as above vital signs stable
resting comfortably Ativan decreased (to) 2mg q4h(ours)
iv (intravenous) increased (to) 200cc/hour. continue to
loosen restraints q 15 minutes.
4P/ no change Dr. Sagman to bedside
Patient sitting up in bed.
6P/ Patient continues to be lethargic
but arousable states, "I feel
much better thank you" when asked (illegible signature)
7P/ wrists (&) ankle restraints loosened
q 15 min(utes) no breakdown (illegible signature)
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