Professional Documents
Culture Documents
Adventist GlenOaks Hospital 8110116874
Adventist GlenOaks Hospital 8110116874
Adventist GlenOaks Hospital 8110116874
Result type:
ED Pat Edu
Result date:
Result status:
altered
Performed by:
Suzanne Manisack
Verified by:
Suzanne Manisack
ED Pat Edu
Patient:
MARK HILBERT
DOB:
MRN#: 391369
Type
Admit/Trans/DC Patient Care
Status
Stop Time
Ordered
05/15/2015 16:20
Consult MD
Ordered
05/15/2015 00:53
Provider
PANKAU MD,
WILLIAM J
MAYOR MD, MPH,
DAVID L
Consult Physician
Consult MD
Ordered
05/15/2015 06:45
05/15/2015 08:19
Provider Order
Patient Care
Ordered
05/14/2015 20:42
Provider Order
Patient Care
Ordered
05/14/2015 20:42
Provider Order
Patient Care
Ordered
05/14/2015 20:42
Order
Type
Status
Stop Time
Acetamin
General Lab
Completed
Alcohol
General Lab
Completed
Auto Diff
General Lab
Completed
CBC/Diff
General Lab
Completed
CMP
General Lab
Completed
Dr Urine
General Lab
Completed
General Lab
Completed
Salicylate
General Lab
Completed
05/15/2015 05:45
Laboratory
Provider
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L
Diagnostic
Your Follow-up Instructions
HILBERT, MARK has been given these follow-up instructions:
Medication Instruction(s)
Acknowledgement Form
HILBERT, MARK has been given the following list of patient education materials and
follow-up instructions:
Patient Education Material(s), appropriate to treatment and follow-up
Medication Education Material(s), appropriate to treatment and follow-up
Valuables/Belongings:
I, HILBERT, MARK, understand the treatment I received and also understand that
further treatment may be necessary. I have been given a copy of the above instructions
and I will arrange for follow-up care as outlined above. If my condition worsens, I will call
my doctor or go to the Emergency Department.
_______________________
Patient Signature
__________/____________
Date
Time
_______________________
Clinician Signature
__________/____________
Date
Time
Please note: If you had any cultures or x-rays performed during your visit, your final
reports will be reviewed. You will be contacted if any further instructions are needed.
Detailed Patient Education/Medication Material
HILBERT, MARK has been given the following patient education materials:
If you have any question(s), contact your physician