Get Forms Stroke Checklist 10 - Alabama Department Of Public Health - Adph

Filling out the Forms STROKE CHECKLIST 10 from the Alabama Department of Public Health is an important task to ensure accurate patient care. This guide provides clear and detailed instructions for completing the form online, so you can provide essential information efficiently.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the form, which will open in the editor for your convenience.
2. Fill in the date and PCR number at the top of the form. Ensure that this information is accurate, as it will be essential for documentation.
3. Enter the time of the assessment, selecting AM or PM appropriately.
4. Indicate the destination where the patient is being transported.
5. Provide the patient's name and date of birth, which are critical for identifying the individual in the medical record.
6. Record the stroke scale score and specify the stroke scale used (e.g., SOS) by checking the appropriate box.
7. Document the last time the patient was seen normal along with the exact time, ensuring this is within the specified timeframe of 3 hours or less.
8. Mark all applicable signs and symptoms regarding the patient's status, categorizing responses with 'YES' or 'NO' as necessary.
9. For the current glucometer reading, enter the number observed.
10. If the patient takes , check the box and fill in the prescribed dose and the last time it was taken.
11. Continue to answer questions regarding the patient's medical history and present conditions, marking each box accurately.
12. Once all fields have been completed and verified for accuracy, users can choose to save changes, download, print, or share the form as needed.

Start completing your Forms STROKE CHECKLIST 10 online today to ensure timely and effective patient care.