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Room
Isolation Code Fall Level Precautions
Allergies
MD
Chief Complaint 1
st
Dx 2
nd
Dx
History / Surgeries
Core Measures
Prophylaxis: GI/DVT
Vaccines: PNA/Flu
Neurological Cardiovascular
Respiratory
GI
Diet
GU
Foley Date
Ortho/Mobility/Activity
Endocrine/Accuchek IVT/Drips
Skin/Wound Care PU Risk? Y / N
Meds
PRN
Labs & Diagnostics
ICU Protocols To Collect
Notes / To Do / Family / Issues
Personal Equipment
Transfer/Discharge Plans
Documentation
I&O
V/S
H2T
POC/Edu