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ST. DOMINICJACKSON MEMORIAL HOSPITAL JACKSON, MISSISSIPPI GI Bleed Observation Physician Orders Date & Time Page 1 of 3 Unacceptable Diagnosis for Observation: social admit, failure to thrive, dizziness,
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How to fill out gi bleed observation physician

01
Gather all necessary documents such as the patient's medical history, current medications, and any previous test results.
02
Prepare the observation form or template that is specifically designed for documenting GI bleeding observations.
03
Ensure that you have the necessary equipment and supplies readily available, such as a pen, stethoscope, blood pressure cuff, and thermometer.
04
Start by recording the patient's basic information, including their name, age, and contact details.
05
Document the patient's vital signs, such as heart rate, blood pressure, respiratory rate, and temperature.
06
Observe and record any visible signs of GI bleeding, such as vomiting blood, passing black or tarry stools, or having abdominal pain.
07
Record the patient's overall appearance, such as their level of consciousness, skin color, and general well-being.
08
Document any relevant symptoms or complaints the patient may have, such as dizziness, weakness, or shortness of breath.
09
Perform a physical examination, including auscultation of the abdomen and listening for abnormal bowel sounds.
10
If necessary, order and document the results of additional diagnostic tests, such as blood tests, imaging studies, or endoscopy.
11
Review the observation form for completeness and accuracy before submitting it to the physician or entering it into the patient's medical record.

Who needs gi bleed observation physician?

01
Patients who are experiencing or suspected to have gastrointestinal bleeding require the expertise of a GI bleed observation physician.
02
This includes individuals who exhibit symptoms such as vomiting blood, passing black or tarry stools, or having abdominal pain.
03
Patients with a history of gastrointestinal issues or conditions that may predispose them to GI bleeding may also need the assistance of a GI bleed observation physician.
04
Those who are undergoing certain medical procedures or treatments that can potentially cause GI bleeding, such as endoscopy or anticoagulant therapy, often require the presence of a GI bleed observation physician.
05
Additionally, individuals who are at a higher risk of GI bleeding due to factors like advanced age, certain medications, or underlying medical conditions may benefit from the expertise and monitoring of a GI bleed observation physician.

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