WebThese templates will walk you through what is needed to appropriately complete your documentation. Benefits: Save time; Don't double document. The templates will pull information from other parts of the chart into the note so you don't have to chart it again. Pull pending labs into the discharge summary to provide continuity of care WebPHYSICAL EXAMINATION: Initial examination showed a temperature of 101.2 degrees with a heart rate of 126 and a blood pressure of 152/94. The patient was in general thin and malnourished and appeared chronically ill. He was not responding to verbal or tactile stimulation on admission. Head and neck demonstrated no abnormalities.

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