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    Name: Room ID Line: Subjective/Overnight:: Nursing? Patient? PRN Meds? Etc

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    theintrepiddodger
    This document contains fields for collecting a patient's overnight information including vital signs, physical exam findings, lab results, procedures, imaging, consults, and assessment and plan. Key information fields include subjective/overnight notes, intake/output, vital signs, physical exam by body system, common lab tests, oxygen settings, lines/drains, imaging, EKG, procedures, and assessment and plan.

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    Name: Room ID Line: Subjective/Overnight:: Nursing? Patient? PRN Meds? Etc

    Uploaded by

    theintrepiddodger
    699 views2 pages
    This document contains fields for collecting a patient's overnight information including vital signs, physical exam findings, lab results, procedures, imaging, consults, and assessment and plan. Key information fields include subjective/overnight notes, intake/output, vital signs, physical exam by body system, common lab tests, oxygen settings, lines/drains, imaging, EKG, procedures, and assessment and plan.

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    tool

    Original Title

    Pre Round Template

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    This document contains fields for collecting a patient's overnight information including vital signs, physical exam findings, lab results, procedures, imaging, consults, and assessment and plan. Key information fields include subjective/overnight notes, intake/output, vital signs, physical exam by body system, common lab tests, oxygen settings, lines/drains, imaging, EKG, procedures, and assessment and plan.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    699 views2 pages

    Name: Room ID Line: Subjective/Overnight:: Nursing? Patient? PRN Meds? Etc

    Uploaded by

    theintrepiddodger
    This document contains fields for collecting a patient's overnight information including vital signs, physical exam findings, lab results, procedures, imaging, consults, and assessment and plan. Key information fields include subjective/overnight notes, intake/output, vital signs, physical exam by body system, common lab tests, oxygen settings, lines/drains, imaging, EKG, procedures, and assessment and plan.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 2

    Name: Room

    ID line:
    Subjective/Overnight: Nursing? Patient? PRN meds? Etc.

    Vitals Intake/Output
    T Tmax Ins Outs Net
    HR
    BP
    RR
    Sats Device/setting:
    Ht/Wt/HC:
    Physical Exam Labs
    General: MCV WBCDiff Cultures/Other:
    HEENT:
    Heart:
    Lungs
    Abdomen:
    Extremities:
    Ca PTT TotProt Alb
    O2 settings? Mg PT TotBili DirBili
    Lines/drains? Phos INR AST AlkPhos
    ALT

    Imaging/EKG/Procedures Consults

    Assessment & Plan

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