You are on page 1of 1

Xavier University Ateneo De Cagayan College of Nursing Corrales Avenue, Cagayan de Oro City Area of Duty:Maria Reyna Xavier

r University Hospital Rotation/Ward: 5th Rotation- Staffing /Station ___ Date: _______________ Shift :_______________

INTAKE AND OUTPUT SHEET


Date Patients Name/ Bed No. INTAKE Oral Parenteral TOTAL Urine OUTPUT Drainage Others TOTAL STOOL

PREPARED BY: Edio, Agnes Enya Lorraine U. XUSN4- Head Nurse

NOTED BY: Mr. Ernst Dale Ubay-Ubay, RN, MN Clinical Instructor

You might also like