Anesrcd
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- Words: 158
- Pages: 1
,,-.\
(-
\.'-/ J Pt Evaluated
PriorTo Induction
P rei nducti on V i tal S i gns
sPoz ff
Hn 7?
ep L')
a St e t h : P / E
TYPE O F A N E S T H E S I A
T IM
200 180 160 140 120 100
ANESTHESIOLOGIST
80
6. D"-t,r ttt-
60 40 20
A LLE R GIE S
PACU lV ANTIBIoTICS:(t
6() THESIOLOGIST S I G N A TU R E
ANE S T HE N D
Ll:ol Page I ot 1
+I CAT H0 L Ic HEAL T H tNtilAilVtS
F ra n c i s c a n H e a l th Sy s tem
tl ilillillllllll 110040
(4122t09)
St- JosephMedical Certei Taconld,WA St. tnrncis Hosprlal,federalWay,WA . 5t, Clare Hosprtal,Lakewood,WA Ilrnrclaw RegionalHospital,Irrunclaw WA St.AnthonyHo5pilal,Cig HarboLWA
A N E S TH E SRIA E C O RD
P A TIE N T IN FOR MA O N
(-
\.'-/ J Pt Evaluated
PriorTo Induction
P rei nducti on V i tal S i gns
sPoz ff
Hn 7?
ep L')
a St e t h : P / E
TYPE O F A N E S T H E S I A
T IM
200 180 160 140 120 100
ANESTHESIOLOGIST
80
6. D"-t,r ttt-
60 40 20
A LLE R GIE S
PACU lV ANTIBIoTICS:(t
6() THESIOLOGIST S I G N A TU R E
ANE S T HE N D
Ll:ol Page I ot 1
+I CAT H0 L Ic HEAL T H tNtilAilVtS
F ra n c i s c a n H e a l th Sy s tem
tl ilillillllllll 110040
(4122t09)
St- JosephMedical Certei Taconld,WA St. tnrncis Hosprlal,federalWay,WA . 5t, Clare Hosprtal,Lakewood,WA Ilrnrclaw RegionalHospital,Irrunclaw WA St.AnthonyHo5pilal,Cig HarboLWA
A N E S TH E SRIA E C O RD
P A TIE N T IN FOR MA O N
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