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Patient Name: AMD: Student Nurse:

Age: Gender: Date:

HR RR BP TEMP PAIN NURSES’ NOTES (PDAR)


Problem:
0800
1200 Data:
IVF1 1VF2 ORAL ENTERAL URINE DRAIN

0800 Action:
0900
1000
1100
1200 Response:

1300
TOTAL

Medications: Procedures:

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