ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMAN
1
Timestamp
Date & Time of Level 1 TRIAGE at ED
UHID
Triage [Done withing 2 minute]
Triage Category
Assessments [COMPLETE NURSES INITIAL ASSESSMENT within time frame]
ALLERGIES IDENTIFIED
MEDICATION RECONCILIATION
Documentation [PAST MEDICAL/SURGICAL HISTORY NOTED]
LAST MEAL DOCUMENTED?ALLERGIES DOCUMENTED?PHYSICAL EXAMINATION DONE?IS A REVISIT?
MLC CASES NOTIFICATION & DOCUMENTATION
PAIN ASSESSMENT AND MANAGEMENT FALL RISK ASSESMENT DONE?DRUG ENTRIES
CROSS CONSULTATION TO OTHER SPECIALTY
REASSESSMENT DONE PERIODICALLY
PATIENT DISPOSITION FROM ED
ED CONSULTANT
STAFF NAME AND EMPLOYEE ID
Documentation [LAST MEAL DOCUMENTED?]
Documentation [ALLERGIES DOCUMENTED?]
Documentation [PHYSICAL EXAMINATION DONE?]
Documentation [FALL RISK ASSESSMENT DONE?]
Doctors AssesmentDocumentation [TREATMENT PLAN]
Date & Time of Nurses Assessment
2
25/10/2017 02:35:2324/10/2017 21:30:00150034323P3YESNONOT APPLICABLEPain assessed and Managed
Signature present, Witnessed, Timed
NOCOMPLETE BUT NOT IN TIMEDischargeDR. SHAMMYTINTU1166YESYESYESNOWITHIN 30MINYES24/10/2017 09:50:00
3
25/10/2017 02:39:2724/10/2017 19:20:00170235485P3Inadequate/IncompleteNONOT APPLICABLEPain assessed and Managed
Legible, Signature present, Witnessed, Timed
NOINCOMPLETEDischargeDR. SHAMMYCHINCHU 2492YESYESInadequate/IncompleteYESIMMEDIATELYYES24/10/2017 19:20:00
4
25/10/2017 02:46:5824/10/2017 20:00:00170235486P3NONONOT APPLICABLEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESINCOMPLETEDischargeDR. SHAMMYKARTHIKA 2587YESYESInadequate/IncompleteInadequate/IncompleteWITHIN 10MINInadequate/Incomplete24/10/2017 20:05:00
5
25/10/2017 14:59:1325/10/2017 12:20:00170235652P1YESNONOT APPLICABLEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. VISHALremya susan 555YESYESYESYESIMMEDIATELYYES25/10/2017 12:22:00
6
25/10/2017 15:03:3725/10/2017 12:05:00170235648P3YESNONOT APPLICABLEPain assessed and Managed
Legible, Signature present, Witnessed, Timed
NOCOMPLETE AND TIMELYLAMADR. VISHALremya susan 555YESYESYESYESWITHIN 10MINYES25/10/2017 00:10:00
7
26/10/2017 03:18:4425/10/2017 21:00:00170231415P3YESNONOT APPLICABLEPain assessment not doneTimedNOCOMPLETE AND TIMELYAdmissionDR. SHAMMYsarimol 499NOYESYESInadequate/IncompleteWITHIN 30MINYES25/10/2017 09:00:00
8
26/10/2017 03:22:1625/10/2017 07:00:00150045975P1YESNONOT APPLICABLEPain assessed and Managed
Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYDischargeDR. SHAMMYBeena 1393YESYESYESYESIMMEDIATELYYES25/10/2017 07:00:00
9
26/10/2017 08:06:3526/10/2017 07:06:00160080026P3YESNONOT APPLICABLEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
NOCOMPLETE AND TIMELYDischargeDR. SABINremya susan 555YESYESYESYESWITHIN 10MINYES26/10/2017 07:10:00
10
27/10/2017 03:59:0926/10/2017 21:30:00150033691P3YESNONOT APPLICABLEPain assessed and Managed
Legible, Documented in Capital letters, Witnessed, Timed
NOCOMPLETE AND TIMELYDischargeDR. SABINshilpa s 988YESYESYESYESWITHIN 10MINYES26/10/2017 21:30:00
11
27/10/2017 06:36:3126/10/2017 20:28:00170235927RESUSCITATION BAYYESNONOT APPLICABLEPain assessment not done
Legible, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. SABIN
ASWATHY SATHYAN 2333
YESYESYESYESIMMEDIATELYYES26/10/2017 20:30:00
12
28/10/2017 06:52:3228/10/2017 00:30:00170223318PEDIATRIC AREAYESNONOT APPLICABLEPain assessment not doneLegibleYESCOMPLETE AND TIMELYDischargeDR. MANOJ
ASWATHY SATHYAN 2333
YESYESYESYESIMMEDIATELYYES28/10/2017 00:35:00
13
29/10/2017 06:23:5428/10/2017 21:20:00170236327PEDIATRIC AREAYESNOPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
NOCOMPLETE AND TIMELYDischargeDR. SABINresmipYESYESYESYESIMMEDIATELYYES28/10/2017 21:23:00
14
29/10/2017 12:15:3429/10/2017 05:00:00160084064P2YESNONOT APPLICABLEPain assessed and Managed
Legible, Signature present, Witnessed, Timed
YESINCOMPLETEDischargeDR. SABINshilpa s nair 988NOYESYESYESIMMEDIATELYYES29/10/2017 05:05:00
15
30/10/2017 05:34:0330/10/2017 02:45:00150007598P1YESNONOT APPLICABLEPain assessed but not managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
NOCOMPLETE AND TIMELYLAMADR. VISHALprincy 2305YESYESYESYESIMMEDIATELYYES30/10/2017 02:45:00
16
30/10/2017 05:43:2229/10/2017 18:30:00170236352PEDIATRIC AREAYESNONOT APPLICABLEPain assessed but not managed
Documented in Capital letters
YESCOMPLETE AND TIMELYAdmissionDR. VISHAL
SHILPA MARY SABU (2583)
YESYESYESYESIMMEDIATELYYES29/10/2017 18:30:00
17
30/10/2017 23:06:0730/10/2017 21:28:00170236615P3YESNONOT APPLICABLEPain assessed but not managedYESCOMPLETE AND TIMELYAdmissionDR. VISHALROY JOSEPHYESYESYESYESIMMEDIATELYYES30/10/2017 21:30:00
18
31/10/2017 03:50:5531/10/2017 00:20:00140003649PEDIATRIC AREAYESNONOT APPLICABLEPain assessed but not managed
Legible, Documented in Capital letters
NOCOMPLETE AND TIMELYDischargeDR. VISHALshilpa mary sabu(2583)YESYESYESYESWITHIN 10MINYES31/10/2017 00:20:00
19
01/11/2017 05:59:0831/10/2017 19:00:00150032974P3YESNONOT APPLICABLEPain assessed and ManagedNOCOMPLETE AND TIMELYDischargeDR. SHAMMYshilpa mary sabu(2583)YESYESYESYESWITHIN 10MINYES31/10/2017 19:05:00
20
01/11/2017 07:09:2501/11/2017 04:45:00150015387P2YESNONOT APPLICABLEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. SHAMMYshilpa mary sabu (2583)YESYESYESYESIMMEDIATELYYES01/11/2017 04:45:00
21
02/11/2017 07:28:3102/11/2017 00:28:00170237035P2YESNONOT APPLICABLEPain assessed and Managed
Legible, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. SHAMMYshamna 2582YESYESYESYESIMMEDIATELYYES02/11/2017 00:33:00
22
02/11/2017 07:28:3802/11/2017 00:28:00170237035P2YESNONOT APPLICABLEPain assessed and Managed
Legible, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. SHAMMYshamna 2582YESYESYESYESIMMEDIATELYYES02/11/2017 00:33:00
23
02/11/2017 08:28:5801/11/2017 20:05:002820P3YESNONOT APPLICABLEPain assessed but not managedNODischargeDR. SHAMMYneethu tlYESYESYESYESWITHIN 30MINYES01/11/2017 20:10:00
24
03/11/2017 00:47:3002/11/2017 20:30:00170237254P2YESNONOT APPLICABLEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. SABINachamma(1616)YESYESYESYESWITHIN 10MINYES02/11/2017 20:32:00
25
04/11/2017 03:49:5303/11/2017 17:58:00160157229PEDIATRIC AREANONOYESCOMPLETE BUT NOT IN TIMEDischargeDR. SABINbenizn baby 1655YESNOYESYESWITHIN 10MINYES03/11/2017 18:00:00
26
04/11/2017 07:09:0604/11/2017 04:00:00160132516P2YESNONOT APPLICABLEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. SABINbenizn baby1655YESYESYESYESWITHIN 10MINYES04/11/2017 04:05:00
27
04/11/2017 20:28:2404/11/2017 19:12:00160103614PEDIATRIC AREAYESNONOT APPLICABLEPain assessment not doneYESCOMPLETE AND TIMELYAdmissionDR. VISHALbenizn baby1655YESYESYESYESWITHIN 10MINYES04/11/2017 19:15:00
28
05/11/2017 17:45:3805/11/2017 15:28:00170217912PEDIATRIC AREAYESYES, WITHIN 24 HRSNOT APPLICABLEPain assessed but not managedYESDischargeDR. SHAMMYROY JOSEPH 2798YESYESYESYESWITHIN 10MINYES05/11/2017 03:30:00
29
07/11/2017 07:16:1807/11/2017 04:30:00150041256P3YESNONOT APPLICABLEPain assessment not done
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
NOCOMPLETE AND TIMELYDischargeDR. VISHALbenizn baby 1655YESYESYESYESWITHIN 10MINYES07/11/2017 04:35:00
30
08/11/2017 03:33:0907/11/2017 22:35:00170238199P1YESNONOT APPLICABLEPain assessment not done
Legible, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. VISHALsanjuna 1287Inadequate/IncompleteInadequate/IncompleteYESYESIMMEDIATELYYES07/11/2017 22:35:00
31
09/11/2017 03:53:0108/11/2017 22:35:00160158947P3YESNONOT APPLICABLEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
NOCOMPLETE AND TIMELYDischargeDR. MANOJchinchu varghese 2492YESNOYESYESWITHIN 30MINYES08/11/2017 22:35:00
32
12/11/2017 07:44:4811/11/2017 19:35:00160158923PEDIATRIC AREAYESNONOT APPLICABLEPain assessed and ManagedTimedYESCOMPLETE AND TIMELYAdmissionDR. SABINaswathy 2333YESYESYESYESWITHIN 10MINYES11/11/2017 19:39:00
33
12/11/2017 07:55:5512/11/2017 01:10:00170239043PEDIATRIC AREAYESNONOT APPLICABLEPain assessed and ManagedYESCOMPLETE AND TIMELYDischargeDR. SABINbenizn 1655YESYESYESYESIMMEDIATELYYES12/11/2017 01:10:00
34
13/11/2017 02:06:0412/11/2017 15:25:00150058593PEDIATRIC AREAYESNONOT APPLICABLEPain assessment not doneYESCOMPLETE BUT NOT IN TIMEDischargeDR. VISHALVEENA YESYESYESYESWITHIN 10MINYES12/11/2017 15:25:00
35
13/11/2017 07:31:3513/11/2017 06:20:00150034892P2YESNONOT APPLICABLEPain assessed and ManagedYESCOMPLETE AND TIMELYDischargeDR. MANOJRN. SHILPA S NAIR 988YESYESYESYESIMMEDIATELYYES13/11/2017 06:22:00
36
14/11/2017 03:40:2713/11/2017 19:40:00150033600P3NONONOT APPLICABLEPain assessed and Managed
Signature present, Witnessed, Timed
NOCOMPLETE AND TIMELYDischargeDR. MANOJsherin k thomasYESYESYESYESWITHIN 10MINYES13/11/2017 19:45:00
37
14/11/2017 05:38:2414/11/2017 01:00:00170226090P2YESNOPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYDischargeDR. MANOJshilpa s nairYESYESYESYESWITHIN 10MINYES14/11/2017 01:05:00
38
15/11/2017 03:36:1814/11/2017 20:43:00170222391P3YESNONOT APPLICABLEPain assessed and ManagedNOCOMPLETE AND TIMELYDischargeDR. VISHALshilpa (2583)YESYESYESYESWITHIN 10MINYES14/11/2017 20:45:00
39
15/11/2017 05:09:5315/11/2017 01:50:00170230743P1YESNONOT APPLICABLEPain assessed but not managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. VISHALshilpa 2583YESYESYESYESIMMEDIATELYYES15/11/2017 01:50:00
40
16/11/2017 08:07:4815/11/2017 19:59:00170239122P3YESNONOT APPLICABLEPain assessed but not managedYESCOMPLETE AND TIMELYAdmissionDR. VISHALsari[499]YESYESYESYESWITHIN 10MINYES16/11/2017 20:00:00
41
16/11/2017 08:09:4216/11/2017 01:23:00170239839RESUSCITATION BAYYESNONOT APPLICABLEPain assessed but not managedYESCOMPLETE AND TIMELYAdmissionDR. VISHALshilpa mary sabu (2583)YESYESYESYESIMMEDIATELYYES16/11/2017 01:25:00
42
17/11/2017 04:18:4716/11/2017 20:20:00140000461P2YESNONOT APPLICABLEPain assessed but not managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. SHAMMYshilpa mary sabu (2583)YESYESYESYESIMMEDIATELYYES16/11/2017 20:25:00
43
17/11/2017 04:29:3217/11/2017 02:00:00170240040P2YESNONOT APPLICABLEPain assessed but not managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. SHAMMYshilpa mary sabu (2583)YESYESYESYESWITHIN 10MINYES17/11/2017 02:00:00
44
18/11/2017 06:31:0117/11/2017 19:35:00170233777P2YESNONOT APPLICABLEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
NOCOMPLETE AND TIMELYDischargeDR. SHAMMYSHILPA MARY SABU 2583YESYESYESYESWITHIN 10MINYES17/11/2017 19:37:00
45
18/11/2017 06:32:5118/11/2017 01:00:00150067529P1YESNONOT APPLICABLEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. SHAMMY
SHILPA MARY SABU (2583)
YESYESYESYESIMMEDIATELYYES18/11/2017 01:00:00
46
19/11/2017 03:52:4318/11/2017 20:00:00170239509PEDIATRIC AREAYESNONOT APPLICABLEPain assessment not doneYESCOMPLETE AND TIMELYDischargeDR. SABINBENIZN BABY 1655YESNOYESNOWITHIN 10MINYES18/11/2017 20:05:00
47
19/11/2017 03:55:3218/11/2017 00:24:00170196232P3YESNONOT APPLICABLEPain assessment not done
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
NOCOMPLETE AND TIMELYDischargeDR. SABINBENIZN BABY 1655YESYESYESYESWITHIN 10MINYES18/11/2017 00:28:00
48
21/11/2017 04:34:1721/11/2017 00:40:00170233099P3YESNONOT APPLICABLEPain assessment not doneNOCOMPLETE AND TIMELYDischargeDR. SHAMMYbeniznbaby1655YESYESYESYESWITHIN 10MINYES21/11/2017 00:40:00
49
21/11/2017 19:54:5921/11/2017 18:28:00170199133PEDIATRIC AREAYESNONOT APPLICABLEPain assessment not done
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESDischargeDR. SHAMMYbony 1749YESYESYESYESIMMEDIATELYYES21/11/2017 06:30:00
50
22/11/2017 22:28:3322/11/2017 00:05:00160079739PEDIATRIC AREAYESNONOT APPLICABLEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. MANOJanuYESYESYESYESWITHIN 30MINYES22/11/2017 00:10:00
51
22/11/2017 22:29:5322/11/2017 14:05:00170215161P2YESNONOT APPLICABLEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. SABINanittaYESYESYESYESWITHIN 10MINYES22/11/2017 14:10:00
52
24/11/2017 01:43:0623/11/2017 21:05:00160136558PEDIATRIC AREAYESNONOT APPLICABLEPain assessment not done
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
NOCOMPLETE AND TIMELYDischargeDR. VISHALANNAMMAYESYESYESYESWITHIN 30MINYES23/11/2017 21:10:00
53
24/11/2017 01:47:4123/11/2017 06:45:00170209149P3YESNONOT APPLICABLEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. VISHALSANJUNAYESYESYESYESWITHIN 30MINYES23/11/2017 06:55:00
54
24/11/2017 04:02:0624/11/2017 03:03:00170241393P3YESNONOT APPLICABLEPain assessed but not managedNOCOMPLETE AND TIMELYDischargeDR. VISHALshilpa mary sabu (2583)YESYESYESYESWITHIN 10MINYES24/11/2017 03:05:00
55
25/11/2017 06:22:1524/11/2017 22:30:00170241559PEDIATRIC AREAYESNOCOMPLETEPain assessed but not managedYESCOMPLETE AND TIMELYLAMADR. SHAMMYshilpa mary sabu(2583)YESYESYESYESWITHIN 10MINYES24/11/2017 22:30:00
56
25/11/2017 06:25:1425/11/2017 03:05:00170241562P1YESNONOT APPLICABLEPain assessed and Managed
Legible, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. SHAMMYshilpa mary sabu(2583)YESYESYESYESIMMEDIATELYYES25/11/2017 03:05:00
57
26/11/2017 05:45:0426/11/2017 01:30:00170241736P3NONOCOMPLETEPain assessed and Managed
Legible, Signature present, Witnessed, Timed
NOCOMPLETE AND TIMELYDischargeDR. SHAMMYremya rajYESYESYESYESWITHIN 10MINYES26/11/2017 01:35:00
58
26/11/2017 19:47:3226/11/2017 17:00:00170241758PEDIATRIC AREANONONOT APPLICABLEPain assessed and Managed
Legible, Documented in Capital letters, Timed
NOCOMPLETE AND TIMELYDischargeDR. VISHALprincy abraham 2305YESYESYESYESWITHIN 10MINYES26/11/2017 17:00:00
59
27/11/2017 06:54:1627/11/2017 03:25:00170241778P1YESNONOT APPLICABLEPain assessed and Managed
Legible, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. SABINBeena vargheseYESYESYESYESIMMEDIATELYYES27/11/2017 03:30:00
60
28/11/2017 06:37:5228/11/2017 02:25:00170242032PEDIATRIC AREANONONOT APPLICABLEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYDischargeDR. SABINancy 2785YESYESYESYESWITHIN 10MINYES28/11/2017 02:30:00
61
28/11/2017 18:48:4827/11/2017 17:55:00170227587PEDIATRIC AREAYESNONOT APPLICABLEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
NOCOMPLETE AND TIMELYDischargeDR. VISHALtintuYESYESYESYESWITHIN 30MINYES27/11/2017 18:00:00
62
28/11/2017 19:20:2828/11/2017 18:45:00170242032PEDIATRIC AREAYESYES, WITHIN 24 HRSNOT APPLICABLEPain assessment not doneLegibleNOCOMPLETE AND TIMELYDischargeDR. SHAMMYannamma scariaYESYESYESYESWITHIN 10MINYES28/11/2017 18:46:00
63
29/11/2017 04:31:3728/11/2017 18:40:00170242032PEDIATRIC AREANOYES, WITHIN 24 HRSNOT APPLICABLEPain assessed and Managed
Legible, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYDischargeDR. SHAMMYannammaYESYESYESYESIMMEDIATELYYES28/11/2017 18:45:00
64
04/12/2017 05:23:5104/12/2017 01:05:00170243022P3YESNONOT APPLICABLEPain assessment not done
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
NOCOMPLETE AND TIMELYDischargeDR. SHAMMYBENIZNBABY 1655YESYESYESYESIMMEDIATELYYES04/12/2017 01:05:00
65
08/12/2017 05:44:3407/12/2017 19:00:00150040439P3YESNOCOMPLETEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
NOCOMPLETE AND TIMELYDischargeDR. MANOJneethu tlYESYESYESYESWITHIN 30MINYES07/12/2017 19:05:00
66
09/12/2017 04:50:3508/12/2017 05:25:00160094351PEDIATRIC AREAYESNOCOMPLETEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
NOCOMPLETE AND TIMELYDischargeDR. MANOJshijiYESYESYESYESWITHIN 30MINYES08/12/2017 05:30:00
67
09/12/2017 04:52:3608/12/2017 18:15:00140003219P3YESNOCOMPLETEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYDischargeDR. SHAMMYshilpaYESYESYESYESWITHIN 30MINYES08/12/2017 18:10:00
68
09/12/2017 04:54:4709/12/2017 03:25:00170244152PEDIATRIC AREAYESNOCOMPLETEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. VISHALsaranyaYESYESYESYESWITHIN 30MINYES09/12/2017 03:30:00
69
12/12/2017 07:27:0112/12/2017 00:40:00170244706P1YESNONOT APPLICABLEPain assessment not done
Legible, Signature present, Witnessed, Timed
NOCOMPLETE AND TIMELYAdmissionDR. SHAMMYsaranyaYESYESYESYESIMMEDIATELYYES12/12/2017 00:42:00
70
13/12/2017 12:03:2413/12/2017 19:25:00150053793P3YESNONOT APPLICABLEPain assessed but not managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. SABINprincy 2305YESYESYESYESIMMEDIATELYYES13/12/2017 07:30:00
71
20/12/2017 08:06:5619/12/2017 22:30:00150017962P2YESNONOT APPLICABLEPain assessed and Managed
Legible, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. SHAMMYsari 499YESYESYESYESWITHIN 10MINYES19/12/2017 22:35:00
72
20/12/2017 08:09:0920/12/2017 04:00:00170179746P1YESNONOT APPLICABLEPain assessed and Managed
Legible, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYLAMADR. SHAMMYreshmi YESYESYESYESIMMEDIATELYYES20/12/2017 04:05:00
73
21/12/2017 05:46:3420/12/2017 21:00:00150036716P2YESNONOT APPLICABLEPain assessed and Managed
Legible, Signature present, Witnessed, Timed
NOCOMPLETE AND TIMELYDischargeDR. SABINtintuYESYESYESYESWITHIN 10MINYES20/12/2017 21:05:00
74
21/12/2017 05:48:2221/12/2017 05:17:00160083255P1YESNONOT APPLICABLEPain assessed and Managed
Legible, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. SABINreshmiYESYESYESYESIMMEDIATELYYES21/12/2017 05:18:00
75
23/12/2017 07:13:0122/12/2017 10:52:00160089138P3YESNONOT APPLICABLEPain assessed and Managed
Legible, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYDischargeDR. VISHALAnuYESYESYESYESWITHIN 30MINYES22/12/2017 10:55:00
76
23/12/2017 07:16:1123/12/2017 01:39:00170246978P2YESNONOT APPLICABLEPain assessed and Managed
Legible, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. VISHALANUYESYESYESYESIMMEDIATELYYES23/12/2017 01:40:00
77
01/01/2018 09:53:0331/12/2017 13:40:00170248545P2YESNONOT APPLICABLEPain assessed and Managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. SABINanittaYESYESYESYESWITHIN 10MINYES31/12/2017 13:45:00
78
04/05/2020 17:14:3504/05/2020 12:30:00200393304P1YESNONOT APPLICABLEPain assessed but not managed
Legible, Documented in Capital letters, Signature present, Witnessed, Timed
YESCOMPLETE AND TIMELYAdmissionDR. VISHALsoumyamohan/3354YESYESYESYESIMMEDIATELYYES04/05/2020 12:35:00
79
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