Pages_944-953_from_Dickstein_Medical_Files_folder_2_of_3_part_14_of_71.pdf

;. E : 508-111 NSN 7540-00-634-4121 DOCTOR'S ORDERS ¢ MEDICAL RECORD {Sign all orders) | : DATE AND TIME DOCTORS | NURSE'S £ RX DRUG ORDERS SIGNATURE | SIGNATURE ; START | STOP { : H 25 Ape ] RESTRAINT INITIATION ORDERS FOR MEDICAL NECESSITY FOR FEEDING | { I na™ Detaines in restraints as per surrent Guard Force Protocol ne a Reason For Restraint. Medical Necessity for Feeding ne | IN Medical Restraints order expires after 12 hours nn | Line of Sight Observation while in restraints Co | BB Circu...