Professional Documents
Culture Documents
3pt Med Surg NSG Brain Sheet
3pt Med Surg NSG Brain Sheet
Isolation:
Dx:
Isolation:
Dx:
Isolation:
Code:
Box #:
ECG:
Fall Level:
Code:
Box #:
ECG:
Fall Level:
Code:
Box #:
ECG:
Fall Level:
Allergy:
O2:
LOC:
Activity:
Allergy:
O2:
LOC:
Activity:
Allergy:
O2:
LOC:
Activity:
IV Site:
IVF:
Rate:
IV Site:
IVF:
Rate:
IV Site:
IVF:
Diet:
AccuChek:
GU:
Diet:
AccuChek:
GU:
Diet:
AccuChek:
GI:
GI:
Labs:
Labs:
Labs:
Hgb
HCO3
BUN
Cr
Ca Mg
P
Hgb
Hct
Meds:
Na
Cl
HCO3
BUN
Cr
Ca Mg
P
Hgb
PLT
Meds:
Cl
PLT
PLT
Hct
Na
WBC
Skin
WBC
Skin
WBC
Skin
Hct
Meds:
Rate:
GI:
Na
Cl
HCO3
BUN
Cr
GU:
Ca Mg
P
Notes:
Notes:
Notes:
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
MD:
MD:
MD: