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Room: Tx: Service: Iso/All: Hx:

IV: Foley: I&O: FSBS:

Room: Tx: Service: Iso/All: Hx:

IV: Foley: I&O: FSBS:

Room: Tx: Service: Iso/All: Hx:

IV: Foley: I&O: FSBS:

Key Points Discussed Needs Incision Drain(s) Meds 19 20 21 HEENT PULM CV NEURO GU GI Activity 22 23 00 01 02 03 04 05 06 07 Action Plan No. 1. 2. Action Item(s) No. 1. 2. HEENT PULM CV NEURO GU GI Activity Incision Drain(s)

Key Points Discussed Needs Meds 19 20 21 22 23 00 01 02 03 04 05 06 07 Action Plan Action Item(s) No. 1. 2. HEENT PULM CV NEURO GU GI Activity Incision Drain(s)

Key Points Discussed Needs Meds 19 20 21 22 23 00 01 02 03 04 05 06 07 Action Plan Action Item(s)

Room: Tx: Service: Iso/All: Hx:

IV: Foley: I&O: FSBS:

Room: Tx: Service: Iso/All: Hx:

IV: Foley: I&O: FSBS:

Room: Tx: Service: Iso/All: Hx:

IV: Foley: I&O: FSBS:

Key Points Discussed Needs Incision Drain(s) Meds 19 20 21 HEENT PULM CV NEURO GU GI Activity 22 23 00 01 02 03 04 05 06 07 Action Plan No. 1. 2. Action Item(s) No. 1. 2. HEENT PULM CV NEURO GU GI Activity Incision Drain(s)

Key Points Discussed Needs Meds 19 20 21 22 23 00 01 02 03 04 05 06 07 Action Plan Action Item(s) No. 1. 2. HEENT PULM CV NEURO GU GI Activity Incision Drain(s)

Key Points Discussed Needs Meds 19 20 21 22 23 00 01 02 03 04 05 06 07 Action Plan Action Item(s)

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