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  • Nursing Report Sheet

    Diunggah oleh

    sarah
    132 tayangan2 halaman
    This document contains a patient's medical information including codes, isolation status, physician notes, vital signs, past medical history, admission diagnosis, pulmonary status, gastrointestinal/genitourinary status, diagnostics, labs, and care plan.

    Deskripsi Asli:

    ICU RN brainsheet

    Judul Asli

    Nursing Report Sheet - Copy - Copy

    Hak Cipta

    © © All Rights Reserved

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    This document contains a patient's medical information including codes, isolation status, physician notes, vital signs, past medical history, admission diagnosis, pulmonary status, gastrointestinal/genitourinary status, diagnostics, labs, and care plan.

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    132 tayangan2 halaman

    Nursing Report Sheet

    Diunggah oleh

    sarah
    This document contains a patient's medical information including codes, isolation status, physician notes, vital signs, past medical history, admission diagnosis, pulmonary status, gastrointestinal/genitourinary status, diagnostics, labs, and care plan.

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 2

    Full Code DNR Meds DNI

    Isolation:__________________

    Physicians: Neuro: WNL Sedated Confused ACHS Q4 Q6


    TOF ___/4 PERRLA Skin: WNL 1900
    VTE: SCDS / HEP SQ /
    Allergies:
    2000 Adult PS EKG
    Cardiac: WNL Murmur Edema P:

    PMH: HTN COPD CAD Goals: 2100


    CHF DM CO:
    CI:
    sV02: 2200

    Rhythm:
    CC/DX: Admitted__________ 2300
    CO:
    CI:
    sV02: 0000 Adult PS CHG

    LDA: 0100
    Pulmonary: WNL NC______ L/min
    ETT # @ cm@
    Trache # 0200
    BiPap ___/___ ___%
    Plan:
    Mode: Rate: 0300
    FiO2: PS:
    TV: PEEP:
    0400 Adult PS PM Chores
    Lung Sounds: Pink Sheet CTS

    GI/GU: WNL Diet ______________


    Foley_________ml/hr 0500 AM LABS
    PEG NGT/OGT _____cm @
    Diagnostics/Labs: Feeds____________@________ml/hr Gtts:
    0600
    Type: Replace:
    -pre:
    -post: 0700 CP Edu Charges
    Bflow: UF:
    Dialysate:
    Full Code DNR Meds DNI
    Isolation:__________________

    Physicians: Neuro: WNL Sedated Confused ACHS Q4 Q6


    TOF ___/4 PERRLA Skin: WNL 1900
    VTE: SCDS / HEP SQ /
    Allergies:
    2000 Adult PS EKG
    Cardiac: WNL Murmur Edema P:

    PMH: HTN COPD CAD Goals: 2100


    CHF DM CO:
    CI:
    sV02: 2200

    Rhythm:
    CC/DX: Admitted__________ 2300
    CO:
    CI:
    sV02: 0000 Adult PS CHG

    LDA: 0100
    Pulmonary: WNL NC______ L/min
    ETT # @ cm@
    Trache # 0200
    BiPap ___/___ ___%
    Plan:
    Mode: Rate: 0300
    FiO2: PS:
    TV: PEEP:
    0400 Adult PS PM Chores
    Lung Sounds: Pink Sheet CTS

    GI/GU: WNL Diet ______________


    Foley_________ml/hr 0500 AM LABS
    PEG NGT/OGT _____cm @
    Diagnostics/Labs: Feeds____________@________ml/hr Gtts:
    0600
    Type: Replace:
    -pre:
    -post: 0700 CP Edu Charges
    Bflow: UF:
    Dialysate:

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