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PERT / Psychiatric Patient Assessment Form Emergency Department To be completed for every ED patient before TOC to PERT / Psychiatry Item 1. CheckVital Signs (temp, pulse, RR, B/P, Sat plus Finger
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01
Begin by gathering relevant personal information such as name, date of birth, and contact information.
02
Document the patient's presenting symptoms, medical history, and any relevant medications they are currently taking.
03
Perform a physical examination and record findings in the evaluation form.
04
Order any necessary diagnostic tests such as blood work or imaging studies.
05
Make a diagnosis based on the evaluation findings and determine the appropriate course of treatment.
06
Complete the evaluation form with all relevant information and sign off as the evaluating physician.

Who needs emergency department evaluation of?

01
Individuals experiencing a medical emergency such as chest pain, difficulty breathing, severe trauma, or sudden loss of consciousness.
02
Patients with chronic medical conditions that require immediate evaluation and treatment.
03
Individuals who have been involved in accidents or traumatic events that may require urgent medical attention.
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Emergency department evaluation of is a comprehensive assessment performed by medical staff to determine the severity and nature of a patient's condition upon arrival at an emergency department.
Healthcare providers who conduct assessments in emergency departments are required to file emergency department evaluations as part of regulatory compliance and patient care documentation.
To fill out an emergency department evaluation, providers must collect patient information, document medical history, record observations and assessments, and complete necessary forms as per hospital protocols.
The purpose of emergency department evaluation of is to ensure prompt and accurate diagnosis, facilitate appropriate treatment, and maintain a record for medical and legal purposes.
Information that must be reported includes patient demographics, medical history, chief complaints, vital signs, diagnostic findings, treatment provided, and any follow-up plans.
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