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Espao Cliente - A Coopus Planos de Sade 2025

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4.8 out of 5

30 votes

The document is a hospital discharge checklist that includes patient information, health insurance details, and various assessments related to the patient's consciousness, respiration, nutrition, eliminations, wounds, and other medical conditions. It serves as a guide for healthcare providers to ensure all necessary evaluations are completed before a patient is discharged.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name in the designated field labeled 'Nome'. This is essential for identifying the patient.
Fill in the 'HD' and 'Hospital' fields with the relevant information regarding hospitalization details.
Input the 'Data internação' (admission date) and 'Alta' (discharge date) to track the patient's stay.
Complete the checklist under 'Nível de Consciência', marking either 'Normal' or 'Alterado' as appropriate.
Indicate the type of respiration by selecting between options like 'Espontânea', 'Cateter', or 'Máscara'.
For nutrition, choose from options such as 'VO', 'Suplemento', or 'SNE'.
Document elimination status by selecting from options like 'Normal', 'Fralda', or others listed.
Provide notes on any wounds, antibiotics, CPAP usage, physiotherapy, or other observations in the designated section at the end of the form.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (30 Votes)
2013	4.7 Satisfied (30 Votes)

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