55m60 wsbc 2025

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  1. Click ‘Get Form’ to open the 55m60 wsbc in the editor.
  2. Begin by entering the date and time of the illness or injury. Ensure you specify AM or PM correctly.
  3. Fill in the employee's name and date of birth, followed by their doctor's name and employer details including phone number.
  4. Complete the Glasgow Coma Scale section by selecting appropriate responses for eye opening, verbal, and motor responses.
  5. Document vital signs such as respirations and pulse at specified times. Make sure to note any allergies and medications.
  6. Check relevant interventions performed, such as airway management or controlled bleeding, ensuring all actions taken are recorded.
  7. Finally, provide recommendations for follow-up care and document any changes in the patient's condition before signing off on the form.

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