NCU acceptance note
 
Yr/Mon/Day :    /    /   
Time:
 Patient             , a 38 year-old male teacher, was referred from the neurologist due to progressive headache of left frontal for about one month. 
Brief  history :

.
Vital signs: BP:    /    mmHg, RR:    /min, PR:    /min.
 Neurological examination: (describe positive findings).

IMPRESSION :
1.	SAH with hydrocephalus, r/o intracranial vascular lesion.
2.	    
3.	    
Indications of  NCU care:
(  ) 1.Post-craniotomy                            (  ) 2. High level C-spine injury 
(  ) 3.Unstable vital signs                       (  ) 4. Status epilepticus 
(  ) 5.Coma scale(GCS)<=10                 (  ) 6.APACHE II: 15-35
(  ) 7.Others: 
PLANS : 
1.	Arrange CTA for evaluation intracranial vascular condition.
2.	Consider surgical intervention after study of CTA.
3.	Explanation or discussion with patient.    

                                                                           VS                 / R(I)