in-patient progress note

Patient Profile:
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Active medical issues:
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Other medical issues (previous/PmHx/resolved):
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Key Exam findings:
-Most recent charted Vital sign values reviewed.
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Patient seen and reviewed in person during bedside rounds.
Overnight issues as applicable, reviewed.
Labs reviewed (recent).
Medications reviewed - daily review.
Imaging reviewed (recent)

Discussed in multidisciplinary rounds Orange Team 09:45-10:05 B4ICU (as applicable), followed by 10:00-10:45 K3E team rounds. Team lead and/or PCM, SW, OT, PT, SLP, MD Team present. Discussed clinical updates, discussed disposition plan and discharge planning.

CLINICAL PLAN:
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-Medical care: DVTp, Diet, Activity Reviewed, Allied Health Team (PT, OT, Dietician) implementing their assessment-based plan - please see their notes for details.