.BEH_MONITOR

Behavior monitoring: {#} episodes of {behavior}, trigger {x}, intensity {mild/mod/severe}, resolved with {non-pharm intervention}. PRN psychotropic {needed?}. Supports Section E; behavioral care-plan goal {###}.

.PSYCH_MED

{Class} for {documented indication}; target symptom {x} {stable/improved}; monitoring {EPS/sedation/metabolic/falls} {findings}; consent on file. PRN use {#}/limit. Next GDR review {date} / GDR contraindicated: {rationale}.

.BEH_CHANGE

Acute behavior change from baseline: {description}, with {fever/pain/intake change}. Screened for medical cause; provider notified; workup {ordered}; non-pharm measures {list}; unnecessary psychotropic avoided. Reassess {when}. SCSA {y/n}.