Nursing "brains" Report Sheet 4
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“Brain” Rm# Pt. Diagnosis (Hx) Doctor Allergies Diet BS ac/hs Activity IV CVC HL
IV CVC HL
IV CVC HL
IV CVC HL
IV CVC HL
IV CVC HL
Vital signs
T– P– RR – BP – O2 –
T– P– RR – BP – O2 –
T– P– RR – BP – O2 –
T– P– RR – BP – O2 –
T– P– RR – BP – O2 –
T– P– RR – BP – O2 –
MEDS
07 08 09 10 11 12 13 14 15 16 17 18 19 BOS/VS/AS/MED /NOTE/I&O/EOS
BOS/VS/AS/MED/ NOTE/I&O/EOS
BOS/VS/AS/MED/ NOTE/I&O/EOS
BOS/VS/AS/MED/ NOTE/I&O/EOS
BOS/VS/AS/MED/ NOTE/I&O/EOS
BOS/VS/AS/MED/ NOTE/I&O/EOS
IV location Fluids/rate Labs
I&O
Check List Notes:
IV CVC HL
IV CVC HL
IV CVC HL
IV CVC HL
IV CVC HL
Vital signs
T– P– RR – BP – O2 –
T– P– RR – BP – O2 –
T– P– RR – BP – O2 –
T– P– RR – BP – O2 –
T– P– RR – BP – O2 –
T– P– RR – BP – O2 –
MEDS
07 08 09 10 11 12 13 14 15 16 17 18 19 BOS/VS/AS/MED /NOTE/I&O/EOS
BOS/VS/AS/MED/ NOTE/I&O/EOS
BOS/VS/AS/MED/ NOTE/I&O/EOS
BOS/VS/AS/MED/ NOTE/I&O/EOS
BOS/VS/AS/MED/ NOTE/I&O/EOS
BOS/VS/AS/MED/ NOTE/I&O/EOS
IV location Fluids/rate Labs
I&O
Check List Notes:
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