¨ Disposition from aftercare plan: (a) staff MD or therapist with whom client has appt. (b) PCP (primary care provider – physician)
¨ Start date / time
¨ RN who completed evaluation / dc’d client
¨ Client info form
¨ Evaluation packet
¨ Dr’s evaluation
¨ Dr’s orders
¨ Med Sheets
¨ Labs
¨ Misc. papers (transport consents, ER paperwork, labs, property sheets, NOPP… etc)
¨ 5150
¨ Orders to admit to SV or aftercare plan
¨ Check against SAL’s completed
Indicate on sheet whether was SAL
completed or not
¨ 18 copies of log distributed to front office mailboxes; distribution list in Central Log binder
¨ Orders to admit to SV or aftercare plan – copy of aftercare plan to OP nurses box in front office
¨ Copy of aftercare planes to OP nurses box in front office
¨ CYFS: (a) fax copy of log, (b) fax copy of any minor charts
¨ Fax any orders from Dr. Jenkins to Dr. Jenkins; place in Dr. Jenkins ring binder
¨ Stack for Med Records
1. Copy of log
sheet; copies of each Client Info form with RAS written vertically in red ink
by Emergency Request Block
2. Shift
schedule sheet with SAL’s
3.