psych RN note template
Patient is [select name="variable_01" value="received in room|visible on unit|observed pacing hallway |visible watching television"] [text name="variable_2" default=""] at the beginning of the shift. Pt is [select name="variable_3" value="calm and cooperative|pleasant, calm and cooperative|agitated|irritable|brief|dismissive|withdrawn|argumentative|paranoid|guarded|hyper verbal|internally preoccupied|religiously preoccupied"] on approach. [text name="variable_7" default="Mood is"] Affect is [select name="variable_8" value="euthymic.|euphoric.|broad.|restricted.|inappropriate.|irritable|dysthymic.|labile.|blunt.|flat.|bizarre."] [textarea name="variable_196" default=""] Pt [select name="variable_5" value="is compliant with all|is compliant with some|is non compliant with|has no|came to med window for|did not come to med window"] scheduled HS meds. [textarea name="variable_1" default=""] [select name="variable_431" value="Patient denies SI/HI/AVH.|Patient denies SI/HI/AH|Patient denies SI/HI/VH|Patient denies SI/HI|Unable to assess C-SSRS|No suicidal ideation and contracts for safety but|Patient has suicidal ideation but contracts for safety and will not act on it.|Patient has suicidal ideation and can not contract for safety."] [text name="variable_12" default=""] [select name="variable_13" value="Q15 min checks maintained.|Level status maintained."] [text name="variable_19" default=""] To continue plan of care.
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