Daily Progress Note Critical Care Page 2
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2DAILY PROGRESS NOTE CRITICAL CARE
RADIOLOGIC STUDIES:
DVT PROPHYLAXIS
GI PROPHYLAXIS
CXR:
2-D ECHO:
CT:
BOWEL MOVEMENT
PT/OT / SPEECH
NUTRITION _______________
ROUTE___________________
ASSESSMENT/PLAN:
SAMPLE
Name/Title
Signature
Date
Time
INTENSIVIST ASSESSMENT / PLAN SUPPLEMENT:
DISCHARGE PLANNING:
REMAIN IN ICU
STEPDOWN
TELE
GMF
LTAC
COLLABORATIVE PLAN OF CARE:
NURSING
RESPIRATORY
PHARMACY
DIETARY
WOUND CARE
PT/OT SPEECH
CASE MANAGEMENT
Name/Title
Signature
Date
Time
HFBH-59-1103MR-0210
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