Name:		Ward/Bed/HN:	| |
Age/Gender:	/	Case:	| |
Tier:	V/B:	TT:	Drain:
DNR
Problems
Risks:
Suicidal: No	Violence: No
Safety Vest: No	Limb Holder: No	Magnetic: No	PRO/Complaint:
AIRS:	MI: No	Fall: No