Part 4 Concept: Development – Identified concept with priority Development Stage (Erickson) designation: H High – M Moderate – L - Low Describe How the Patient in Meeting / Not Meeting the Task. Include specific examples Concept: Teamwork & Collaboration, Leadership & Management/Nutrition Identified concept PHYSICIAN’S ORDERS with priority designation: H High – Diet (Be specific as to what the Doctor has ordered) M Moderate – L - Low Activity (Be specific as to what the Doctor has ordered) Treatments (Be specific as to what the Doctor has ordered) Current medications (including IV and supplemental feeding). List medications, dosage, frequency Medications/IV Fluids Reason Dosage Route Frequency Concept: Health Information Technology Fluid & Electrolyte Balance/Immunity/Metabolism DIAGNOSTIC TESTS Laboratory Date (Include all pertinent lab data)
Part 4 – Concept: Development Identified concept with priority designation: H – High M – Moderate L - Low Development Stage (Erickson) Describe How the Patient in Meeting / Not Meeting the Task. Include specific examples Concept: Teamwork & Collaboration, Leadership & Management/Nutrition Identified concept with priority designation: H – High M – Moderate L - Low PHYSICIAN’S ORDERS Diet (Be specific as to what the Doctor has ordered) Activity (Be specific as to what the Doctor has ordered) Treatments (Be specific as to what the Doctor has ordered) Current medications (including IV and supplemental feeding). List medications, dosage, frequency Medications/IV Fluids Reason Dosage Route Frequency Concept: Health Information Technology Fluid & Electrolyte Balance/Immunity/Metabolism DIAGNOSTIC TESTS Laboratory Date (Include all pertinent lab data)