Page 1177 - 10. 2nd half 2018 New 26-05-21 No Table

The Doctor’s Folder / pub Book Issue: 1!
Stage 4
Folder 4
Originator Details: 04 Nov 2018
Last Amended by Details: 04 Nov 2018
Robert Nnubia
Page Numbers: 22
22
Originator Details: 04 Nov 2018 05:46
Robert Nnubia Nursing
Originally Entered by Details: 04 Nov 2018 05:46
Robert Nnubia Last Amended by Details: 04 Nov 2018 05:46
Robert Nnubia Validated by Details: 04 Nov 2018 05:46
Robert Nnubia Significant: No Added to Risk
History: No
Contains Third Party Info: No Conceal
From Client: Not Concealed
MHA Status: Sec 2
Mental State: Presented as polite, calm and stable in mental state on the shift. He was
observed to be keeping to self in his bed space watching tv during most part of the shift. No
paranoid ideas expressed on the shift
Social Inclusion: Minimal interaction on the ward, however pleasant on approach
Investigation: Nil on the shift
Physical Health: Nil complained or observed on the shift. Had hot drink and snack and
retired to bed and appears to have slept well.
Medication: He is not on any prescribed medication
Personal Care and Activities: Appears satisfactory and did not participate in any ward base
activity
Risk and observation Level: Nil observed to self or others on the shift. He is nursed on
general observations.
Leave Status: He did not utilise his sec 17 leave on the shift

Si Note:
1

2

3

4

Summary!

Disrepair!