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  • Report Sheet

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    nerd_fetish
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    This document appears to be a patient chart or report sheet containing fields for a patient's name, code status, sex, bed number, diet, doctor, admission date, diagnosis, post-operative day, allergies, labs, history, vital signs including blood pressure, pulse, respiration, temperature, and weight/height at various times, neurological exam, lung exam, abdominal exam, pulses, edema, IV site, input/output including oral intake, tube feeding, IV fluids, urine output, emesis, drainage, stool, total input/output, medications, procedures, tubes/lines, nutritional support, and pulmonary support.

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    This document appears to be a patient chart or report sheet containing fields for a patient's name, code status, sex, bed number, diet, doctor, admission date, diagnosis, post-operative day, allergies, labs, history, vital signs including blood pressure, pulse, respiration, temperature, and weight/height at various times, neurological exam, lung exam, abdominal exam, pulses, edema, IV site, input/output including oral intake, tube feeding, IV fluids, urine output, emesis, drainage, stool, total input/output, medications, procedures, tubes/lines, nutritional support, and pulmonary support.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    Download as doc, pdf, or txt
    27 views1 page

    Report Sheet

    Uploaded by

    nerd_fetish
    This document appears to be a patient chart or report sheet containing fields for a patient's name, code status, sex, bed number, diet, doctor, admission date, diagnosis, post-operative day, allergies, labs, history, vital signs including blood pressure, pulse, respiration, temperature, and weight/height at various times, neurological exam, lung exam, abdominal exam, pulses, edema, IV site, input/output including oral intake, tube feeding, IV fluids, urine output, emesis, drainage, stool, total input/output, medications, procedures, tubes/lines, nutritional support, and pulmonary support.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    of 1

    Name: Code Status:: Sex:

    Bed #: Diet Dr: Admit:


    Dx: POD:
    Allergies:
    Labs:

    Hx:

    VS:BP P R T Wt: Ht:


    VS:BP P R T Activity
    Neuro: Accucheck:
    Lungs: O2 Cough:
    Abd: BS: Dsg/Inc:
    Pulses: Edema: IV site:
    0700 0800 0900 1000 1100 1200 1300 1400

    Input Output
    P.O. Urine
    TF Emesis
    Irrig Drains
    IV Drains
    IV Stool
    Total Input _______________ Total Output ______________________

    Meds:

    Procedures:

    Tubes Lines:

    Nutritional Support:

    Pulmonary Support:

    C41/Course folders/106/Clinical materials/Report sheet.doc

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