Ostermayer at 05:17, 5 October 2020

2020-10-05T05:17:35Z

← Older revision		Revision as of 05:17, 5 October 2020
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	[ ] Other: (free text box)<br>		[ ] Other: (free text box)<br>
	</small>		</small>

			==Other WLAVA Administrative pages==
			{{Special:Prefixindex/WLAVA \|hideredirects=1}}
			[[Category:Admin]]

Jochickabee at 06:51, 28 April 2020

2020-04-28T06:51:10Z

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	<br>		<br>
	DISPOSITION:<br>		DISPOSITION:<br>
	[ ] ~~Allowed~~ to enter medical center<br>		[ ] If no concern for COVID, allowed to enter medical center<br>
	[ ] Home<br>		[ ] Home<br>
	[ ] Long-term care facility (i.e., CLC, CalVet, New Vista, community SNF, etc)<br>		[ ] Long-term care facility (i.e., CLC, CalVet, New Vista, community SNF, etc)<br>

Jochickabee at 06:41, 28 April 2020

2020-04-28T06:41:39Z

← Older revision		Revision as of 06:41, 28 April 2020
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	<small>		<small>
	CC: \|PATIENT AGE\|<br>		CC: \|PATIENT AGE\|<p>
	<br>		<br>
	HPI:<p>		HPI:<br>
	<br>		<br>
	REFERRED BY:<br>		REFERRED BY:<br>

Jochickabee at 06:30, 28 April 2020

2020-04-28T06:30:32Z

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	<small~~>== EST Provider Note==<p~~>		<small>
	CC: \|PATIENT AGE\|<br>		CC: \|PATIENT AGE\|<br>
	<br>		<br>

Jochickabee at 06:28, 28 April 2020

2020-04-28T06:28:00Z

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	== EST Provider Note==<p>		<small>== EST Provider Note==<p>
	CC: \|PATIENT AGE\|<br>		CC: \|PATIENT AGE\|<br>
	<br>		<br>
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	[ ] Directly Admitted<br>		[ ] Directly Admitted<br>
	[ ] Other: (free text box)<br>		[ ] Other: (free text box)<br>
			</small>

Jochickabee: Created page with "== EST Provider Note==
CC: |PATIENT AGE|

HPI:

REFERRED BY:
[ ] Self
[ ] Failed primary screen
[ ] Primary care provider
[ ] Other: (free..."

2020-04-28T06:24:53Z

Created page with "== EST Provider Note== CC: |PATIENT AGE| HPI: REFERRED BY: [ ] Self [ ] Failed primary screen [ ] Primary care provider [ ] Other: (free..."

New page

== EST Provider Note==
CC: |PATIENT AGE| 
 
HPI:
 
REFERRED BY: 
[ ] Self 
[ ] Failed primary screen 
[ ] Primary care provider 
[ ] Other: (free text box) 
 
SYMPTOM SCREEN (select all that apply): 
[ ] Subjective fevers/chills or T > 99.9F 
[ ] Cough (new or worse than usual) 
[ ] Sore throat (new or worse than usual) 
[ ] Shortness of breath or trouble breathing (new or worse than usual) 
[ ] Body or muscle aches (new or worse than usual) 
[ ] Diarrhea (new or worse than usual) 
[ ] Severe fatigue 
[ ] Other: (free text box) 
 
EXPOSURE SCREEN: 
[ ] Close contact with CONFIRMED COVID19 case (within 14 days of Sx onset) 
[ ] Close contact with patients of a respiratory illness outbreak in last 3 days 
[ ] Healthcare worker (including EMT, paramedic, etc) 
[ ] Lives in a long-term care facility (CLC, CalVet, New Vista, community SNF, etc) 
[ ] Lives in a group living facility (homeless shelter, board & care, DOM, New Directions, US Vets, etc) 
[ ] Patient gets chronic care in healthcare facility (i.e., dialysis or chemotherapy patient) 
 
SOCIAL HISTORY: 
[ ] Domiciled in private residence 
[ ] Undomiciled (includes living in tent, car, etc) 
[ ] Domiciled in long-term care facility (auto populate if selected above in exposure screen?) 
[ ] Domiciled in group living facility (auto populate if selected above in exposure screen?) 
 
PMHx: 
ACTIVE PROBLEMS 
|ACTIVE PROB LIST-SHORT| 
 
ALLERGIES: 
|ALLERGIES| 
 
VITALS: 
T: |TEMPERATURE| 
P: |PULSE| 
R: |RESPIRATION| 
BP:|BLOOD PRESSURE| 
Pain: |PAIN| 
Pulse Ox: |PULSE OXIMETRY| 
 
PHYSICAL EXAM: 
GEN: Well-appearing, No apparent distress 
Resp: Normal work of breathing, speaking in complete sentences 
Neuro: A&Ox3, Gait: steady, moving all extremities, no gross focal deficits 
 
ASSESSMENT: 
Patient is afebrile and with unremarkable respiratory vital signs. Patient at baseline ambulatory status, 
non-toxic appearing, and speaking in full sentences. Based on the limited examination there is a low 
suspicion for serious bacterial infection or systemic illness. 
[ ] COVID-19 suspected, met testing criteria. 
[ ] COVID-19 suspected, did not meet testing criteria. 
[ ] COVID-19 suspected, testing refused. 
[ ] COVID-19 not suspected. 
[ ] Other: (free text box) 
 
PLAN:
[ ] Encouraged patient to continue with symptom alleviation. 
[ ] Encouraged to return if has significant worsening of symptoms including chest pain, shortness of 
breath, or inability to care for self. 
 
DISPOSITION: 
[ ] Allowed to enter medical center 
[ ] Home 
[ ] Long-term care facility (i.e., CLC, CalVet, New Vista, community SNF, etc) 
[ ] Building 214 “COVID” DOM 
[ ] VA Homeless Housing Program (i.e., Grant Per Diem, DOM, New Directions, etc.) 
[ ] Other group living facility (i.e., shelter, board & care, assisted living facility etc.) 
[ ] ED attending consult for help with disposition: (text box for name) 
[ ] Escorted to ED (critically ill) 
[ ] Directly Admitted 
[ ] Other: (free text box)