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Page 69 text:
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MEMO: Albuquerque Veterans' Administration Hospital NOTING THE PROLONGED HOSPITALIZATION OF MANY OF OUR PATIENTS, THE STAFF DIRECTOR HAS ISSUED INSTRUCTIONS THAT THE F OLLOWING RATING SYSTEM BE USED BY RESIDENTS, INTERNS, AND STUDENTS IN EVALUATING PATIENTSi PROGRESS. Characteristic 0r Behavior Point Value 1. 2. Transferred to another service on day of admission ...................................................................................................... 2 Stool found under dressing at first post-op dressing change ......................................................................................... 10 With no B.M3s recorded ..................................................................................................................................... 14 Chart weighs over 2 lbs. ............................................................................................................................................... - 2 Patient has seizure or hematemesis while checking out clothing for discharge ............................................................. 4 Patient sent to ward by admitting physician with diagnosis which pertains to organ system actually involved minus 3 If correct diagnosis .................................................................................................................................... minus 5 Pulls out I.V. ............................................................................................................................................................... 6 In full restraints - with teeth If edentulous ..................................................................................................................................................... 2O Removes Foley catheter with bag inflated 5 cc. bag ........................................................................................... 10 30 cc. bag ........................................................................................... 30 Urinates on physician ................................................................................................................................................... 10 on nurse ............................................................................................................................................................... 8 0n orderly ............................................................................................................................................................ 6 0n janitor ............................................................................................................................................................. 4 on medical student .............................................................................................................................................. 2 Defecates in doctoric bag ............................................................................................................................................ 20 Patient gets Foley Drainage tube tied into pajamaties ................................................................................................ 10 Past history reads ttSee old chartii ............................................................................................................................... 1 Concentration of Airwick required in Patientis room causes conjunctivitis among visiting personnel ........................... 4 Patient answers all questions asked to any patient on ward ........................................................................................ 11 Drinks from urinal ...................................................................................................................................................... 14 Toenails cannot be cut with clippers, chisel, or drill Semi-formed guaiac positive stool found more than 71A ft. from patientis bed ............................................................ 9 Each additional foot ........................................................................................................................................... 1 On wall or window .............................................................................................................................................. 3 On sidewalk below window near bed .................................................................................................................. 14 Regulates own I.V. ........................................................................................................................................................ 2 Other patientsi I.V. ............................................................................................................................................. 4 Bites bulb off oral thermometer .................................................................................................................................... 2 Rectal thermometer ........................................................................................................................................... 4 Another patienfs rectal thermometer ................................................................................................................ 11 Hides in closet on rounds ............................................................................................................................................. 3 Found in bed with another patient .............................................................................................................................. 3 Each additional patient in bed ............................................................................................................................. 3 Patient eats pajamas .................................................................................................................................................... 11 Found in hall without pajamas bottoms ...................................................................................................................... 16 Found with dentures on upside down .......................................................................................................................... 7 Decubitus on occipital protuberance .......................................................................................................................... 9 Develops chemical tracheitis secondary to aspiration of a fly ..................................................................................... 11 61
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Page 68 text:
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Mr A 'xx ng get stoned on Coke? ttEver see Yeu xx; a photographer again. Quick, cover your shiney spot? WWW W, x xwxw w WM w :1 . And then the bee, its legs heavy with pollen, flies on to a different flower? 60 ttOyka, Red, now the way I figuIES-it the Deants safe oughta be over behind the paintint on the north wall? W akag; ttOkaiy, now, all you on the left join in - tRow, row, row your boat? h , .k ttAlright, Fred - P11 admit your pectorals aintt bad, but match this bicep?
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