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Initial <br />\~~ 174C\5 <br />UNIVERSITY of CALIFORNIA • IRVINE <br />HEALTHCARE <br />ED NURSING NOTES <br />, lrrtpalred RIT __ _ • 17 Rape Trauma Syndrome ___ _ <br />10 Grieving R/T ______ _ 18 Skin Integrity, Impaired ____ _ <br />11 lnfedlon Potentlel/Actual R/T __ _ 19 Thought Processes, Altered, ___ _ <br />12 lnjtJry, Potential For _____ _ 20 Tl88U8 Integrity, Impaired, ___ _ <br />13 Know1edge Deftclt R/T ____ _ 21 Tlsaue Perfusion, Altered ___ _ <br />14 Mobility Impaired, Physical RIT __ _ 22 Urinary Ellmlnatton, Altered ___ _ <br />15 Pain, Acute/Ch1'0111c R/T ____ _ 23 Vlolence Potential For ____ _ <br />16 Post Trauma Respol).18 ____ _ 24 other ________ _ <br />RN INITIAL: <br />___ Signature_. __ __,__ _____ _ <br />___ Signature ________ _ <br />Initial (...£. • Signatur <br />Initial ___ Signature _________ _ <br />Initial ___ Slgnaturt_________ Initial ___ Slgnaturt ---------- <br />All documentation must Indicate the speclffc date and time of entry and a signature complete with Identifying credential, title or classification. <br />87223 (Rev. 2-17-10) •