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  • 1 PT Report

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    Anees
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    This document appears to be an ICU report sheet containing sections for patient information, history, examination findings, vital signs, safety checks, diagnostics, and labs. It includes fields for patient name, code status, room, age, allergies, family, physician, and date of admission. Sections cover the respiratory, neurological, cardiac, musculoskeletal and GI/GU systems as well as skin, vital signs, and safety aspects of care.

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    1 pt Report

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    This document appears to be an ICU report sheet containing sections for patient information, history, examination findings, vital signs, safety checks, diagnostics, and labs. It includes fields for patient name, code status, room, age, allergies, family, physician, and date of admission. Sections cover the respiratory, neurological, cardiac, musculoskeletal and GI/GU systems as well as skin, vital signs, and safety aspects of care.

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    © All Rights Reserved
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    12 views1 page

    1 PT Report

    Uploaded by

    Anees
    This document appears to be an ICU report sheet containing sections for patient information, history, examination findings, vital signs, safety checks, diagnostics, and labs. It includes fields for patient name, code status, room, age, allergies, family, physician, and date of admission. Sections cover the respiratory, neurological, cardiac, musculoskeletal and GI/GU systems as well as skin, vital signs, and safety aspects of care.

    Copyright:

    © All Rights Reserved
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    of 1

    NAME: CODE STATUS: ROOM:

    AGE: ALLERGIES: FAMILY:


    GENDER: PHYSICIAN: ADMITTED:
    PMH: TEST: IV ACCESS/FLUID/DRIP:

    HISTORY: SITUATION:
    HX: MEDICATION:
    DM HTN
    CKD
    HLP
    OSA
    Smoker
    ICU REPORT SHEET
    Obesity CHF

    RESPIRATORY: SKIN: 2000


    SPO2 Wound 2100
    Care 2200
    ETT 2300
    Others
    0000
    NEURO: VITAL SIGNS: 0100

    A & Ox BP 0200
    TEMP
    X SYSTOLIC 0300
    X DIASTOLIC 0400
    PULSE O
    0500

    CARDIAC: SAFETY CHECKS: 0600


    ADD O SUPPLY
    Rhythm SUCTION WORKS 0700
    BED WHEELS LOCK
    Edima
    SIDE RAILS UP 0800
    Pulse C. MONITOR ALARM ON
    0900
    BED SIDE ANGISED
    1000
    MUSCULOSKELETAL: DIAGNOSTICS:
    1100
    General Weakness 1200

    1300
    Limited Movement
    1400

    1500
    GI/GU: LABS: 1600

    Diet Na CO2 Hct 1700


    CI BUN Hgb 1800
    TF
    K GIu PIt
    Foley
    Cr WBC 1900

    NOTES:

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