FICHE INDIVIDUELLE VICTIME OU IMPLIQUE

Etablissement du coût d'achat de matières. - Valorisation de stocks par la méthode CUMP. Une bonne préparation de son examen passe par le traitement de ce ...


un extrait du document



N}{\b\fs20 \tab N\'b0 \'85\'85
\par }\pard \qj\nowidctlpar\tx5103\tx7938\adjustright {\fs20
\par }\pard \qj\nowidctlpar\tx9072\adjustright {\fs20 Nom ..................................... Pr\'e9nom .....................................\tab N\'b0 Tri .........
\par }\pard \qj\nowidctlpar\adjustright {\fs20
\par Adresse ............................................................................ T\'e9l. .....................................
\par
\par ----------------------------------------------------------------------------------------------------------------------------------------
\par
\par }\pard \qj\nowidctlpar\tx6804\tx9072\adjustright {\b\fs20 CUMP ..................................... D\'e9partement /...../...../\tab }{\b\fs20\ul SOINS DE TERRAIN}{\b\fs20 \tab N\'b0 \'85\'85}{\fs20
\par }\pard \qj\nowidctlpar\adjustright {\fs20
\par }\pard \qj\nowidctlpar\tx6804\adjustright {\fs20 Date .......................................... Heure ............ (de l\rquote examen)\tab Soins individuels }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par \tab Soins en groupe }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par
\par }\pard \qj\nowidctlpar\tx851\tx2977\tx6804\adjustright {\b\fs20 Victime}{\fs20 \tab directe (bless\'e9 physique)\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par \tab indirecte (impliqu\'e9)\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab Sexe M }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 F }{\fs20 {\field{\*\fldinst
SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par \tab T\'e9moin\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab Date de naissance .....................................
\par \tab Famille, proche\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par \tab Sauveteur\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab Nationalit\'e9 ................................................
\par }\pard \qj\nowidctlpar\adjustright {\fs20
\par }\pard \qj\nowidctlpar\tx2127\adjustright {\b\fs20 Atteinte(s) somatique(s)}{\fs20 \tab oui }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab non }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings"
\\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par \tab si oui, la(les)quelle(s) .............................................................................................................................
\par }\pard \qj\nowidctlpar\adjustright {\fs20
\par }{\b\fs20 Atteinte psychologique
\par }{\fs20
\par }\pard \qj\nowidctlpar\tx851\tx6804\adjustright {\b\fs20 \tab Anxi\'e9t\'e9\tab \'c9tat thymique}{\fs20
\par }\pard \qj\nowidctlpar\tx1134\tqr\tx2410\tx7513\tqr\tx9356\adjustright {\fs20 \tab absente\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab neutre\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings"
\\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par \tab moyenne\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab plut\'f4t triste\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par \tab importante\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab franchement triste\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par }\pard \qj\nowidctlpar\tx7513\tqr\tx9356\adjustright {\fs20 \tab exalt\'e9, euphorique\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par }\pard \qj\nowidctlpar\adjustright {\fs20
\par }\pard \qj\nowidctlpar\tx851\tx4820\adjustright {\b\fs20 \tab Troubles du comportement\tab Traitement m\'e9dicamenteux oui }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\b\fs20 non }{\fs20 {\field{\*\fldinst SYMBOL
111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\b\fs20
\par }\pard \qj\nowidctlpar\tx1134\tqr\tx2977\tx4820\adjustright {\fs20 \tab aucun\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab }{\i\fs16 (administr\'e9 sur place, sur indication CUMP)}{\fs20
\par }\pard \qj\nowidctlpar\tx1134\tqr\tx2977\tx4820\tx6237\adjustright {\fs20 \tab inhibition\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab si oui, produit(s)\tab
.............................. dose ........inj }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab per os }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par }\pard \qj\nowidctlpar\tx1134\tqr\tx2977\tx6237\adjustright {\fs20 \tab sid\'e9ration\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par \tab agitation\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab .............................. dose ........inj }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab
per os }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par \tab actes automatiques\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par \tab agressivit\'e9\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab .............................. dose ........inj }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\tab per os }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par }\pard \qj\nowidctlpar\tx1134\tqr\tx2977\tx5954\tx6237\adjustright {\fs20 \tab confusion\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par }\pard \qj\nowidctlpar\tx1134\tqr\tx2977\tx6237\adjustright {\fs20 \tab troubles dissociatifs\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab .............................. dose ........inj }{\fs20
{\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab per os }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par }\pard \qj\nowidctlpar\tx1134\tqr\tx2977\tx5954\adjustright {\fs20 \tab d\'e9lire\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par }\pard \qj\nowidctlpar\adjustright {\fs20
\par }\pard \qj\nowidctlpar\tx2268\adjustright {\b\fs20 Plainte(s) somatique(s)\tab }{\fs20 oui }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 non }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt
\f14\fs20}}}{\fs20
\par \tab si oui, la(les)quelle(s) ..........................................................................................................................
\par }\pard \qj\nowidctlpar\adjustright {\fs20
\par }{\b\fs20 Contact relationnel avec l\rquote intervenant}{\fs20
\par }\pard \qj\nowidctlpar\tx851\tqr\tx2694\adjustright {\fs20 \tab satisfaisant\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par \tab peu satisfaisant\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par \tab insatisfaisant\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par \tab tr\'e8s insatisfaisant\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par
\par }\pard \qj\nowidctlpar\tx6237\adjustright {\b\fs20 Verbalisation\tab Nature du r\'e9cit de l\rquote \'e9v\'e9nement
\par }\pard \qj\nowidctlpar\tx851\tqr\tx2694\tx6804\tqr\tx9923\adjustright {\fs20 \tab spontan\'e9e\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab factuel exclusif\tab }{\fs20 {\field{\*\fldinst SYMBOL
111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par \tab provoqu\'e9e facile\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab }{\i\fs16 (seul le r\'e9cit des faits est rapport\'e9)}{\fs20
\par \tab provoqu\'e9e difficile\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab \'e9motionnel exclusif\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par \tab absente\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab }{\i\fs16 (seul le ressenti de l\rquote \'e9v\'e9nement est verbalis\'e9)}{\fs20
\par }\pard \qj\nowidctlpar\tx6804\tqr\tx9923\adjustright {\fs20 \tab factuel et \'e9motionnel\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par \tab amn\'e9sie\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par \tab r\'e9cit absent\tab }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par }\pard \qj\nowidctlpar\adjustright {\fs20
\par }{\b\fs20 Autre(s) remarque(s)}{\fs20 ..................................................................................................................................................................\'85
\par
\par }{\b\fs20 Nature de l\rquote \'e9v\'e9nement}{\fs20 ...................................................................................................................................................................
\par
\par }\pard \qj\nowidctlpar\tx1701\adjustright {\fs20 \tab Date .......................... Heure .......................... (de l\rquote \'e9v\'e9nement)
\par }\pard \qj\nowidctlpar\adjustright {\fs20
\par }\pard \qj\nowidctlpar\tx5812\tx7513\tx9214\adjustright {\b\fs20 Intervenant}{\fs20 ..............................................................................\tab Psychiatre }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt
\f14\fs20}}}{\fs20 \tab Psychologue }{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20 \tab Infirmier}{\fs20 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 10}{\fldrslt\f14\fs20}}}{\fs20
\par }}