Psychiatry
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Vital signs: T [text size="4"] F, HR [text size="4"] bpm, RR [text size="4"], BP [text size="7"], SpO2 [text size="2"]% [select value="RA|2LNC|"]
Resident is admitted to facility with diagnoses: [text size="50"]. Medication adherence has been [checkbox value="Good|Fair|Poor|Questionable|Not taking medications as prescribed|Taking more than prescribed"] [text size="50"]. [checkbox value="Allergies include |No known allergies"][text size="50"]. Resident is [checkbox value="Calm and cooperative|Irritable|Oppositional|Oriented and ambulatory|Disorganized|Responding to internal stimuli|Required significant support following direction|Sedated|Unsteady on feet|Unable to participate in admission process"].[checkbox value="Fall precautions initiated|Staff notified of contact precautions|Message left with infection control| Plan to monitor patient for safety, encourage patient to accept scheduled medications"]. Resident is [select value="awake and alert|sleeping|"] [checkbox value="oriented x|with forgetfulness|confused|no c/o pain|c/o pain (include assessment)|regular respiration even and unlabored, lungs clear to auscultation, no coughing, denies SOB or chest pain|heart sounds regular rate and rhythm|bowel sounds normoactive all quadrants, abdomen soft and nontender, Last BM ( _ )|continent of bladder, voids clear yellow urine, denies voiding difficulties, denies frequency or urgency, no flank pain|moves extremities without difficulties"] [checkbox value="Plan to "][checkbox value="Maintain contact precautions|Maintain fall precautions|adjusting well to roommate, staff, environment|call light within reach|kept clean and comfortable|"].


[text name="SHIFT" default="0700-1930"]

[textarea name="variable_1" default="MALE TEXT AREA"]

[date name="variable_1" default="05/19/2019"]
[text name="variable_2" default="sample text"] is a [checkbox name="variable_1" value="year old|male|female"]
admitted on ---[date name="variable_1" default="07/28/2019"]
diagnosed with [text name="variable_3" default="sample text"]. He is on [checkbox name="variable_4" value="regular diet|diabetic/ consistent carb diet|mechanical soft diet|finger foods| nut-free|lactose free"] with [checkbox name="variable_5" value="no known food and drug allergy|no known food allergy| ALLERGIC TO|NO known drug allergy"]
He is on
[checkbox name="variable_1" value="Q5|1:1|Q15|Q30|red risk|1:1 when using the bathroom|1:1 when eating||due to"] for level of safety, per MD orders.
[checkbox name="variable_3" value="He/She is on court cont until|He/She is under petition court date| PATIENT L2K was certified on DATE TIME"]
0730
[checkbox name="Received" value="in his room|in her room |in the courtyard|in the dayroom|getting Vitals signs taken|watching TV|laying down|respirations regular and unlabored|no apparent distress|pacing|interacting with peers|interacting with staff"]
0830
[checkbox name="variable_1" value="NO AM Meds|Compliant with AM meds|Refused |Non-compliant with AM meds|First dose ----given|Consent signed|verified consent signed|NO PRN's requested|No s/s of adverse reaction noted this shift"]


Denies[checkbox name="variable_9" value="Suicidal Ideation| Homicidal Ideation| Auditory Hallucinations| Tactile hallucination |Visual hallucinations|"]

Reports[checkbox name="variable_10" value="Suicidal Ideation| Homicidal Ideation| Auditory Hallucinations| Tactile hallucination |Visual hallucinations| Reports One bowel movement today|Reports last bowel movement on DATE "]


1400
[checkbox name="variable_1" value="option A|option B|option C|option B|option|option B|option|option B|option"]
1630
[checkbox name="variable_1" value="option A|option B|option C|option B|option|option B|option"]
1730
[checkbox name="variable_1" value="option A|option B|option C|option B|option|option B|option"]

1800
[checkbox name="variable_1" value="in his room|in her room |in the courtyard|in the dayroom|getting Vitals signs taken|watching TV|laying down|respirations regular and unlabored|no apparent distress|pacing|interacting with peers|interacting with staff"]


PATIENT IS
[checkbox name="variable_6" value="calm|cooperative|AOX4|AOX3|visible|cooperative with unit policies |interactive with peers and staff |interactive with select peers and staff| keep to self| interactive with peers and staff |poor boundaries| needs prompting| interactive with peers and staff |redirectable|attended groups|able to follow commands|pacing|interactive with peers and staff |"]
Patient appears
[checkbox name="variable_1" value="fair grooming and hygiene|poor grooming and hygiene|malodorous|non-malodorous|disheveled|steady gait|unsteady gait|poor eye contact|maintains good eye contact|blunted|bright affect|intense look|irritable|agitated|unable to focus|OPTION"]








FIRST DOSE
[checkbox name="variable_1" value="Compliant with |option B|option C|option B|option|option B|option|option B|option|option B|option"]
PRNs
[checkbox name="variable_1" value="option A|option B|option C|option B|option|option B|option|option B|option"]

[radio name="variable_1" value="Suicidal Ideation|Homicidal Ideation|Auditory Hallucinations"]

[checklist name="variable_1" value="POOR HYGIENE|option B|option C"]

Had [select name="variable_1" value=" No bowel movement|1 bowel movement|choice C"] this shift

[remark]CLEAR SPEECH[/remark]

[comment memo="COMMENT"]

[mark memo="STEADY GAIT" mark="mark"]

[var name="WHAT IS A VARIABLE"]
Vital signs: T F, HR bpm, RR , BP , SpO2 %
Resident is admitted to facility with diagnoses: . Medication adherence has been . . Resident is . . Resident is .







is a
admitted on ---
diagnosed with . He is on with
He is on
for level of safety, per MD orders.

0730

0830



Denies

Reports


1400

1630

1730


1800



PATIENT IS

Patient appears









FIRST DOSE

PRNs






Had this shift



COMMENT



WHAT IS A VARIABLE

Result - Copy and paste this output: