Time: - Time: - Intake Output Stool CBG Oral IVF Urine Drain

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UNIVERSITY OF SANTO TOMAS College of Nursing RLE Monitoring Sheet

Date: ________________ Shift: ____________________ Time: ____________ Rm # PAIN BP PR RR T R A O2 SAT BP PR

Time: ____________ PAIN RR T R A O2 SAT Oral

Intake IVF

Output Urine Drain Stool CBG

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