Admit to: (name of unit)
Diagnosis: DSM-IV diagnosis justifying the admit
Legal Status: Voluntary or involuntary status-if involuntary, state specific status Condition: Stable Allergies: No known allergies
Vitals: Standard orders are q shift x 3, then q day if stable, if there are medical concerns, vitals should be ordered more frequently. Activity: Restrict to the unit or allow patient to leave unit. Precautions: Assault or suicide precautions, elopement precautions. Diet: Regular diet, ADA diet, soft mechanical.
Labs: Chem 20, CBC with diff, UA with toxicology screen, urine pregnancy test,
RPR, thyroid function, serum levels of medications. Medications: As indicated by the patient's diagnosis or target symptoms. Include as needed medications, such as Tylenol, milk of magnesia, antacids.
Was this article helpful?
Do you hate the spring? Do you run at the site of a dog or cat? Do you carry around tissues wherever you go? Youre not alone. 51 Ways to Reduce Allergies can help. Find all these tips and more Start putting those tissues away. Get Your Copy Of 51 Ways to Reduce Allergies Today.