Working Paper of Public Health Volume 2012 - Azienda Ospedaliera ...

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Azienda Ospedaliera NazionaleSS. Antonio e Biagio e Cesare ArrigoAlessandriaVia Venezia, 16 – 15100 ALESSANDRIATel . 0131 206111 – www.ospedale.al.itinfo@ospedale.al.itC.F. – P.I. 01640560064I PAZIENTI IN TRATTAMENTO SANITARIO OBBLIGATORIO NON POSSONOUSCIRE DAL REPARTOSOC PSICHIATRIADirettore Dr. E. PiantatoRapporto uscita pazientiCognome:Nome:Tiene un comportamento adeguato si noChiede soldi o sigarette si noSi procura debiti al bar si noImportuna persone all’esterno si noCerca di allontanarsi dal gruppo si noLamenta crisi d’ansia si noPresenta episodi ipotensivi si noManifesta intemperanze verbali si noSi procura lesioni accidentalmente si noSi procura lesioni volontariamente si noAggredisce persone si noElude la sorveglianza e fugge si noDecesso si no
Azienda Ospedaliera NazionaleSS. Antonio e Biagio e Cesare ArrigoAlessandriaVia Venezia, 16 – 15100 ALESSANDRIATel . 0131 206111 – www.ospedale.al.itinfo@ospedale.al.itC.F. – P.I. 01640560064SOC PSICHIATRIADirettore Dr. E. PiantatoCognome Nome Data ora Numero progressivoEntità danno: Lieve medio graveDescrizione dell’evento avversoFirma infermiere:
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