When the patient's condition has tended to deteriorate, the hospital side will issue a critical notification, the following is my compilation of the critical notification, welcome to read reference.
Critical Notification 1
Relatives:
Patient Gender Age Bed Number Case Number
Diagnosis is now hospitalized in our hospital, although the active treatment but the current condition tends to deteriorate at any time may be life-threatening, hereby issued a critical notification.
Nevertheless, we will still be active treatment, please understand and cooperate with us, if you have other requirements, please receive? Please let us know if you have any other requests immediately after receiving the "critical notification" letter.
Signature of the physician: Date: Year month day hour
Signature of the relative:
Relative's relationship with the patient:
ID card number: Date: Year month day hour
Hospital Section
(This notice in duplicate, the hospital, the patient's relatives, each of which will be executed a)
Disease critical notification of the 2Part 2
Disease critical notification of the 2Part 1
Part 2
This is the first time that we have received the notice of a disease in the hospital. strong>
Relatives:
Internal medicine _______ bed hospitalized,
Diagnosed as , although active treatment but the current condition tends to deteriorate,
may be life-threatening at any time, the special issued a serious (critical) notice. However, we will still take effective measures
to actively rescue. At the same time to inform you: in order to rescue the patient, the hospital can not obtain your consent in advance
under the circumstances will be based on the needs of the rescue work, the use and adoption of emergency rescue of the necessary instruments and equipment and treatment section,
please be understood, cooperation and support, if you have other requirements, please in the receipt of? The notification of the seriousness of the disease (critical) notice?
Immediately after the receipt of the notification, please let us know.
Yingshang Xiehe Hospital Chaoyang Branch Department: Internal Medicine
Signature of the physician: Date: Month day hour
Signature of the relative / guardian: Date: Month day hour
Relative and the patient's patient's relationship:
ID card number:
(This notice in duplicate, the hospital, the patient's relatives each sign a copy of)
The patient is notified of a serious illness (critical). Critical illness notification 3Comrade family members:
The patient (Mr., Ms.) is now hospitalized in our hospital section hospitalization, diagnosed as Although the active treatment, but the current condition tends to deteriorate, at any time may be life-threatening, the special issued a serious illness (critical) notice. Nevertheless, we will take effective measures to save the patient's life. At the same time to inform you: in order to rescue the patient, the hospital may not have your consent in the case of rescue work will be based on the need to use and take emergency rescue necessary instruments and equipment and treatment, please understand, cooperate and support, if you have other requirements, in the receipt of the "serious (critical) notice" immediately after the Department told me.
Signature of the physician:
Signature of the relative/guardian:
Relationship between the relative and the patient:
xxx hospital xxx section year month day time minutes