Pages_1044-1053_from_Dickstein_Medical_Files_folder_2_of_3_part_24_of_71.pdf

508-114 NSN 7540-00-634-4121 ee ——— ee —— NSN 7540-00-6344121 DOCTOR'S ORDERS MEDICAL RECORD — (Sign all orders) __DATE AND TIME DOCTOR'S | NURSE'S RX DRUG ORDERS SIGNATURE | SIGNATURE START | STOR _ oo Wiffle IN RESTRAINT INITIATION ORDERS FOR MEDICAL NECESSITY FOR FEEDING Re Reason For Restraint: Medical Necessity for Feeding CC EN Medical Restraints order expires after 12 hours ] -..._|Line of Sight Observation while in restraints. EE ee Circulation checks every 15 mins for the first hour and...