Registered Nurse RN | Free NCLEX Review, Care Plans, RN Salary
Patient Name:__________________________ Patient Room:_________ DOB:___________ Sex:__
Doctors:
Diagnosis:
Allergies:
History:
Code Status:
VS: 0700 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________
1200 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________
1600 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________
Blood Sugars: 0700___________ 1200_________ 1700_____________2200______________
Med Pass: 0700 0800 0900 1000 1100 1200 1300 1400 1500 1600 1700 1800 1900 2000 2100 2200 2300 2400 0100
0200 0300 0400 0500 0600
Intake: Breakfast_____________Lunch_______________Supper_____________ ____ Other:________________
Output: Foley___________BM:________ Emesis_______Drains:_______ Tubes______ Ostomy Bag:___________
Labs:__________________________________________________Needed Labs:____________________________
Future Procedures:______________________________________________________________________________
*****************************************************
Patient Name:__________________________ Patient Room:_________ DOB:___________ Sex:__
Doctors:
Diagnosis:
Allergies:
History:
Code Status:
VS: 0700 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________
1200 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________
1600 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________
Blood Sugars: 0700___________ 1200_________ 1700_____________2200______________
Med Pass: 0700 0800 0900 1000 1100 1200 1300 1400 1500 1600 1700 1800 1900 2000 2100 2200 2300 2400 0100
0200 0300 0400 0500 0600
Intake: Breakfast_____________Lunch_______________Supper_____________ ____ Other:________________
Output: Foley___________BM:________ Emesis_______Drains:_______ Tubes______ Ostomy Bag:___________
Labs:__________________________________________________Needed Labs:____________________________
Future Procedures:______________________________________________________________________________
*****************************************************
Patient Name:__________________________ Patient Room:_________ DOB:___________ Sex:__
Doctors:
Diagnosis:
Allergies:
History:
Code Status:
VS: 0700 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________
1200 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________
1600 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________
Blood Sugars: 0700___________ 1200_________ 1700_____________2200______________
Med Pass: 0700 0800 0900 1000 1100 1200 1300 1400 1500 1600 1700 1800 1900 2000 2100 2200 2300 2400 0100
0200 0300 0400 0500 0600
Intake: Breakfast_____________Lunch_______________Supper_____________ ____ Other:________________
Output: Foley___________BM:________ Emesis_______Drains:_______ Tubes______ Ostomy Bag:___________
Labs:__________________________________________________Needed Labs:____________________________
Future Procedures:______________________________________________________________________________
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.