CARING NURSES, INC.
ROC Verbal Orders for Modification or Revision of Plan of Care Post Hospitalization
Patient Chart
Patient: JERKINS, KENNETH - 900007785
Chart: 1 Episode: 1
Form Date: 03/19/2023
2968 E. RUSSELL ROAD
LAS VEGAS, NV 89120
Phone: 702-791-3729
Fax: 702-791-3859
Patient PHONE#: (202) 658-8317
ADDRESS: 9650 ENSWORTH ST City: Las Vegas State: NV Zip Code: 89123
Physician Name: DR. SCOTT LAMPRECHT, APRN, FNP-BC, RN Fax #: NPI #: 1801130455

HOSPITAL ADMISSION DX/SYMPTOMS:

ADDITIONAL OR NEW DIAGNOSIS FOR HHC:

SURGICAL TREATMENT AND DATE

NEW ORDERS/MEDICATIONS

I. TREATMENT:

II. MEDICATIONS:

III. DIET:

IV. SERVICES:

CURRENT CERTIFICATION PERIOD: FROM 02/28/2023 TO 04/28/2023
Physician Signature: Date: