RED ALERTS

DNAR = In Place (11-02-2019)

Anticoagulants = Warfarin

Key Safe = 1066

Names

First Name: Joan

Middle Name: Frances 

Surname: Hollands

Address

Name/Number: 4 

Road Name: Fake Street

Town: My Town

Postcode: AB1-2CD

Date of Birth & Age

Date of Birth: 11-03-1937

Age: 87

Emergency Contact 1

Name: Simon Hollands

Relationship: Son

Mobile Phone: 07098765432

Home Phone: 013324-987678

Work Phone: N/A

Address: 5 Fake Road, Town, AB1-2CD

Emergency Contact 2

Name: Fiona Hollands

Relationship: Daughter in law

Mobile Phone: 07098765432

Home Phone: 013324-987678

Work Phone: N/A

Address: 5 Fake Road, Town, AB1-2CD

Social Notes

DNAR? = Yes

RESPECT? = No

KEY SAFE? = 1066

Social History

Uses walker to mobilise 

Key safe located inside front porch

Lives alone

Carers come x2 per day at 6am & 7pm

DNAR In Place

Medical History

Hypertension (HTN)

Atrial Fibrillation (AF)

Depression 

Prescribed Medication

Bisoprolol (atrial fibrillation)

Amiodarone (atrial fibrillation)

Chlorthalidone (hypertension)

Sertraline (depression)

Lifeline Plan

Account Number = LLD001

Password = Pineapple

Payment Date = 1st PCM

Device Status = Rental ends 12/12/25

Other Information