TIME                                                                    PATIENT PROGRESS RECORD
_______________________________________________________________________________________
                       PATIENT
                       EDUCATION
______________________________________________________________________________________________________
                               LEARNING NEED Clinical course explained, need for 
                      (?chest) (?restraining)/protective devices explained
                               PT./S.O. INSTRUCTED ACCORDING TO/TOOLS USED: questions answered
                                               TEACHING PROTOCOL  discussed                              VIDEO
                                               CLASS                                                                                  HAND-OUTS
_______________________________________________________________________________________
                                WAS S.O. PRESENT?            YES       x NO         RELATIONSHIP
_______________________________________________________________________________________
            OUTCOMES:                                                        
            VERBALIZED UNDERSTANDING       x YES       NO                    
            DEMONSTRATED SKILLS             YES        NO                    
            REQUIRES FOLLOW-UP / REFERRAL   YES        NO                   

8AM     Patient is appropriate/cooperative & states he understands
             need for protective devices for now.
             (?Hands/arms with good calm/movement/  illegible word)
9A        (?Diuresing)  well.  (?illegible word)  remains with (?foley catheter)
11A      Resting
12N      Remains appropriate, no psychosis.  states he does not remember
             clinical events        that remembers baby sitting his sister & (?becoming)
             weak and dizzy.
12:20(?)  I.V. infiltrated    Restarted & I.V. heplock placed Left arm.
             Patient is taking fluids well & encouraged to continue to do - I.V.
             fluid  (?discontinued) per MD order
             Psychiatrist in to assess patient (?condition).   to Psych
             Procedure for transfer explained to patient   Patient remains calm & 
             appropriate     questions answered.
2P         (?Pulse) high to 120 - Patient states his pulse "baseline pulse" is
             always high even when he is asleep
4P         continues to diurese well - drink fluid
5P         Remains calm & cooperative.  Affect labile - 
7P         Remains calm & (?concurrent)   Verbalizing questions
             re(garding) duration of stay at Psychiatry, what
            (?therapeutic) goals would be
             Sinus Rhythm  decreased (to) 92 without ectopy.   (?Bryant) RN

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