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Head to Toe Assessment 1

Head to Toe Assessment 1

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Published by Monica Ugarte Treta

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Published by: Monica Ugarte Treta on Mar 16, 2010
Copyright:Attribution Non-commercial

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10/16/2010

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Head-to-Toe Assessment
NameDateDate of BirthGenderHeightWeight
Vital Signs
Temp
Site 
BP
Site 
O2
% on 
Pulse
regular irregular weak 1+ steady 2+ strong +3 bounding 4+ 
Resp
regular irregular labored moderate shallow deep apnea 
Pain
1-10 rating PQRST 
IVLocation Date GaugeTubing Date Signs of infection?
Fluid(s) InfusingRateFluid Remainin
HEENTHead Eyes Ears
ObservationObservationObservatioPalpationPERRLAPalpatioTemporal PulseVisionHearinSubjective DataSubjective DataSubjective Dat
Level of Consciousness Nose Neck/Throat
OrientationObservationObservatioPersonPalpationLymph Node PalpatioPlacePatentcyCarotid PulsTimeSense of SmellRange of MotioSubjective DataSubjective DataSubjective Dat

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