Rhinitis Pharyngitis - California Correctional Health Care Services - cphcs ca 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Subjective' section. Document the chief complaint in the patient's own words, along with the date and time of onset. Include any accompanying symptoms such as headache, cough, or fever.
3. Next, move to the 'Objective' section. Enter vital signs and weight, and document observations regarding eyes, ears, nasal passages, throat, and neck.
4. In the 'Assessment' section, summarize findings related to ineffective breathing patterns or risk for bacterial infection based on your observations.
5. Proceed to the 'Plan' section. Outline treatment recommendations based on whether the patient presents with allergic rhinitis or viral rhinitis/pharyngitis.
6. Finally, ensure that all patient education provided is documented in the appropriate fields and that referrals are noted as necessary.

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