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Comprehensive Initial Patient Assessment Form #1 Mobile App

The Comprehensive Patient Assessment mobile app can be used by doctors and nurses upon admitting a patient to a health care facility. This app is especially beneficial for giving a comprehensive geriatric assessment since the app is quite detailed. This form allows the healthcare professional to test a patient's response to communication, cognition, and physical prompts.

All patient medical records and patient responses are securely stored in the Canvas Cloud. Since you can email or print the information as a PDF, you can easily share it with other registered nurses and doctors to develop a treatment plan, especially if long-term care is necessary for an elderly patient. This app can be downloaded to an iPhone, iPad, or Android device.


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  • The Cooperative
  • PG&E
  • Toys R Us
  • Red Bull
  • Mirvac

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Take a peek inside the Comprehensive Initial Patient Assessment Form #1 Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox Therapist Name
  • Ico date Today's Date
  • Ico date Date of Admission Reactivation
  • Ico date Date of Admission (TBRHSC)
  • Ico integer Weight
  • Ico textbox Code Status
  • Ico dropdown O2 Orders
  • Ico textbox Keep Stats Above
  • Ico textbox Diagnosis
  • Ico multiline Hx of PI
  • Ico multiline Tests/X-Rays/Precautions/Orders
  • Ico multiline Medical Hx
  • Ico textbox Psychological History
  • Ico textbox Stress Factors
  • Ico textbox Coping/Mood
  • Ico textbox Contact Person/Info
  • Ico textbox Social Supports
  • Ico textbox Family Situation
  • Ico dropdown POA
  • Ico textbox If Yes to POA
  • Ico dropdown Consent to Contact
  • Ico checkbox Medication Reviewed (Available on Chart)
  • Ico checkbox Concent to assessment and treatment obtained (Includes: why Rx offered, what activities involved, potential benefits and limitations, risks/side effects, alternative, consequence of not having services and consented to Rx being performed by non-registrant)
  • Ico multiline Home Environment
  • Ico textbox Stairs & Railing
  • Ico multiline Bathroom Setup
  • Ico multiline Equipment
  • Ico textbox Services
  • ...and More!

See it in Action

  • This is a comprehensive initial patient assessment form that can be used by doctors and nurses upon admitting a patient to a care facility. This form allows the healthcare professional to test communication, cognition and physical capabilities.
  • Android: Comprehensive Initial Patient Assessment Form #1 Mobile App (Example 1)
  • Android: Comprehensive Initial Patient Assessment Form #1 Mobile App (Example 2)
  • Android: Comprehensive Initial Patient Assessment Form #1 Mobile App (Example 3)
  • Android: Comprehensive Initial Patient Assessment Form #1 Mobile App (Example 4)

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