NCM 107a – Sharon Maquiran, Ma.

Caryl Tady, Rose Anne Gapas

VITAL SIGNS MONITORING SHEET OR TPR SHEET

Record everything when assessing.

- If there are abnormalities, always monitor or re-check. (e.g. rr, re-check every 15mins)
- Not written, not done. Always record.

7am – 6:59 pm – Ballpen is Black

7pm – 6:59 am – Red

VITAL SIGNS/INTAKE-OUTPUT SHEET

INTAKE – check the remaining. After the endoresed

- 1 glass – 240 ml (always approximate)

- If patient has foley catheter, monitor urine output every hour.

INTRAVENOUS FLUID/ BLOOD TRANSFUSION SHEET.

MEDICATION SHEET
Do not put your name if any medication is not given. State reason the nurses note.

TRIAGE:

ABC, Airway, Breathing, Circulation. (Use pain scale to know what to prioritize).

Graphic Chart, Always start with 0 in no. of days upon the admission.

Encircle the normal range/values of vital signs. Pulse rate – red, bp

1. Pregnancy History

G – gravida (pregnant)

P – Para – Completed Deliveries

T – Term – (38 – 40 weeks)

P – Pre -Term – Pregnancy did not reach below 37 weeks

A- Abortion

L – Live Births