OVI Children's Hospital Care Plan and Next Steps
Patient Care Plan and Next Steps
6. Patient Care Plan
Medications Prescribed
Medication
Dosage
Frequency
Duration
Special Instructions
Dietary Needs
Activity Restrictions
Wound or Skin Care
7. Next Steps
Admission Decision
Outpatient Services
Inpatient Admission
Long-term Care Admission
Additional Tests or Referrals Needed
Yes
No
Provider Signature
Date and Time
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