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zlisaz

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  1. I am a new nurse in a short term acute MH facility which is part of a large hospital. The following is how I give report: Pt name / Room # / Dx / why and how pt came to facility Report any SI, HI, Auditory/Visual Hallucinations. If positive SI or HI - do they have a plan? Any past attempts? Pt behavior and my assessment including pain How pt is responding to milieu and any safety issues Med compliance and what PRN meds are ordered and what pt has used during my shift and the results Any pertinent orders that need to be addressed or followed up on as well as pt goals that need to be monitored I keep my report as brief and to the point as I can possible. Hope this helps;)

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