Pages_303-312_from_Dickstein_Medical_Files_folder_1_of_3_part_31_of_81.pdf

fea SORE __ NSNTSO0OSYGE 5 DOCTOR'S ORDERS MEDICAL, RECORD ee iSgnaliorders) DATE AND TIME DOCTOR'S | NURSE'S RX DRUG ORDERS SIGNATURE | SIGNATURE START] STOP ee — — i ey 7 f,4 J 4 Af £ |RESTRAINT INITIATION ORDERS FOR MEDICAL NECESSITY FOR FEEDING | #3 2 4 piace netnce r{b)(1) Sec | Co] Reason For Restraint. Medical Necessity for Feeding Ia En Medical Restraints: order expires after 12 hours Line of Sight observation while in restraints and record 15-minute checks while in resirainis 1 Circuiat...