11/37
(continuation of Intern Berkowitz note of 8/23/93)
with possible recent suicidal gesture but not acutely suicidal
Potential benzo(diazepine) withdrawal
1. Psychiatric follow up and possible transfer to (Psychiatry ward)
2. Ativan taper
3. No seizure (?work up) at this time.
Intern Berkowitz initials #7089
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8/23/93
Just noticed the above Psychiatric addendum
Recommend 24 hour 1 to 1
Ativan Q (every) 6 (hours) as recommended
Intern Berkowitz initials 7089
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24 August 93
CTSP (called to see patient) for bizarre behavior RN (Registered Nurse)/1:1 (attendant) unable to control
Patient delusional
Psychotic
(?follow-up) with Psychiatry coverage
Rec(ommend): Haldol 5mg IM
Cogentin 1mg. po
(signature of covering night intern
Dr. Beverly Ortiz)
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(no further physician examination following placement of restraints until next evaluation note)
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