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Room

Code
Isolation

Diagnosis


Allergies

Past Medical History & Surgeries



Care Team

Neuro

Cardio

Pulmo

GI Diet
Endo

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

Precautions
Prophylaxis

Family Info/Issues
Skin

IVT

Labs



Tests PRN
Notes















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




Room

Code
Isolation

Diagnosis


Allergies

Past Medical History & Surgeries



Care Team

Neuro

Cardio

Pulmo

GI Diet
Endo

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

Precautions
Prophylaxis

Family Info/Issues
Skin

IVT

Labs



Tests PRN
Notes















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



H&P

















































H&P