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Handover Sheet

CHCCOM005 – Communicate and work in health or community services

ISBAR:

Identify Peter BLACK


Name:
DOB: 76 y/o male
UR number: UR726554
Allergies NKA

Situation / Admitted today for full time care post fall


Requires 1 x staff for all transfers
Status Stable
L)CVA
Stable / deteriorating Has a UTI
Improving T1DM on insulin
Discharge / transfer C/O headache
Laceration on L) side of head
Observations Has dysphagia
T 37.1, P 67, R 18, BP 145/90 SpO2 99% on R/A

Background
PHx R)CVA
Lived alone
Supportive family
Unable to cope at home any longer
Sheet and grain farmer in local area
Wife deceased

Assessment
NBM until speech pathology see him this afternoon
No fluids as per above
Laceration on head requires monitoring

Request /
Strict 2/hly toileting
6hly analgesic via RN or EEN
Neurological obs hourly for 4 hrs
recommendation Report any concerns to in charge

Authorised by: /conversion/tmp/activity_task_scratch/654554150.docx Current Version: Feb 2014


Document Owner: Review Date: Feb 2015
CRICOS Provider No. 00103D Page 1 of 1

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