Name: [YOUR NAME]
Company: [YOUR COMPANY NAME]
Department: [YOUR DEPARTMENT]
Date: [DATE]
Category | Patient 1 Information | Patient 2 Information |
---|---|---|
Situation | Name: [PATIENT 1 NAME] Current Situation: [BRIEF DESCRIPTION OF CURRENT SITUATION] Recent Changes: [DESCRIBE ANY RECENT CHANGES] | Name: [PATIENT 2 NAME] Current Situation: [BRIEF DESCRIPTION OF CURRENT SITUATION] Recent Changes: [DESCRIBE ANY RECENT CHANGES] |
Background | Medical History: [LIST OUT KEY MEDICAL HISTORY] Current Medication: [LIST CURRENT MEDICATION] | Medical History: [LIST OUT KEY MEDICAL HISTORY] Current Medication: [LIST CURRENT MEDICATION] |
Assessment | Clinical Findings: [LIST RECENT CLINICAL FINDINGS] Risks/Concerns: [DESCRIBE ANY POTENTIAL CONCERNS] | Clinical Findings: [LIST RECENT CLINICAL FINDINGS] Risks/Concerns: [DESCRIBE ANY POTENTIAL CONCERNS] |
Recommendation | Immediate Actions: [SPECIFY ANY IMMEDIATE ACTIONS TO BE TAKEN] Plan: [PROVIDE AN OVERALL PLAN FOR THE SHIFT] | Immediate Actions: [SPECIFY ANY IMMEDIATE ACTIONS TO BE TAKEN] Plan: [PROVIDE AN OVERALL PLAN FOR THE SHIFT] |
Templates
Templates