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    KARDEX

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    Nicole Audrey Joaquin
    This document appears to be a patient's kardex or medical record chart. It contains sections for chief complaints, surgical/obstetrical procedures, vital signs, allergies, code status, precautions, diagnostic tests and results, medications, intravenous fluids, referrals, demographics, attending physician, and nursing notes. The kardex is used to track a patient's medical history and treatment plan during their hospital stay.

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    KARDEX

    Uploaded by

    Nicole Audrey Joaquin
    76 views2 pages
    This document appears to be a patient's kardex or medical record chart. It contains sections for chief complaints, surgical/obstetrical procedures, vital signs, allergies, code status, precautions, diagnostic tests and results, medications, intravenous fluids, referrals, demographics, attending physician, and nursing notes. The kardex is used to track a patient's medical history and treatment plan during their hospital stay.

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    This document appears to be a patient's kardex or medical record chart. It contains sections for chief complaints, surgical/obstetrical procedures, vital signs, allergies, code status, precautions, diagnostic tests and results, medications, intravenous fluids, referrals, demographics, attending physician, and nursing notes. The kardex is used to track a patient's medical history and treatment plan during their hospital stay.

    Copyright:

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

    KARDEX

    Uploaded by

    Nicole Audrey Joaquin
    This document appears to be a patient's kardex or medical record chart. It contains sections for chief complaints, surgical/obstetrical procedures, vital signs, allergies, code status, precautions, diagnostic tests and results, medications, intravenous fluids, referrals, demographics, attending physician, and nursing notes. The kardex is used to track a patient's medical history and treatment plan during their hospital stay.

    Copyright:

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

    CHIEF COMPLAINTS DIET SURGICAL/OBSTERICAL DATE


    PROCEDURE PERFORMED

    VS______ I/O______
    ADMITTING DIAGNOSIS ADMISSION LATEST
    BP:________ BP:________
    PR:________ PR:________
    RR:________ RR:________
    T:_________ T:_________
    O2: SAT:___ O2: SAT:___
    Ht:________ Ht:________
    ADMISSION ALLERGIES
    Wt:________ Wt:________
    DATE/TIME
    Output:____
    _

    CODE STATUS: Full Limited : No CPR No Intubation No Meds Others:__________


    SANDARD PRECAUTION AIRBORNE DROPLET CONTACT PROTECTIVE ENVIRONMENT

    Date Date
    DIAGNOSTIC TESTS Date Done TREATMENT Frequency
    Ordered Ordered

    Date TIME
    MEDICATIONS Frequency PRN MEDICATIONS Frequency
    Ordered INDICATED

    Date
    CONTRAPTIONS
    Ordered
    INTRAVENOUS
    Bottle Time Due Time
    FLUIDS & MEDS Level IV DRIPS Level
    No. Started Time Started
    INCORPORATED

    PERIPHERAL CENTRAL

    Date
    REFERRALS SPECIALTY REMARKS
    Ordered

    CIVIL SERVICE
    AGE SEX RELIGION OCCUPATION
    STATUS House case HMO/Industrial
    Private paying DJFI

    Room # SURNAME FIRST NAME MIDDLE NAME ATTENDING PHYSICIAN HOSP #

    NURSING NEEDS/SPECIAL INSTRUCTIONS DATE

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