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    Jobelle Fernandez-Santos
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    template

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    4 views4 pages

    Surgery Template

    Uploaded by

    Jobelle Fernandez-Santos
    template

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 4

    GENERAL SURGERY 1 Fernandez/Khadka/Magaway

    Name Date Diagnosis Post OP day Meds Progress Dressing Labs D


    Age/Gender Of Ad
    M/F/SICU/PH
    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    1.

    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    2.

    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    3.

    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    4.

    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    5.
    Name Date Diagnosis Post OP day Meds Progress Dressing Labs D
    Age/Gender Of Ad
    M/F/SICU/PH
    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    6.

    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    7.

    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    8.

    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    9.

    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    10.
    Name Date Diagnosis Post OP day Meds Progress Dressing Labs D
    Age/Gender Of Ad
    M/F/SICU/PH
    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    11.

    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    12.

    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    13.

    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    14.

    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    15.
    Name Date Diagnosis Post OP day Meds Progress Dressing Labs D
    Age/Gender Of Ad
    M/F/SICU/PH
    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    16.

    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    17.

    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    18.

    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    19.

    1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6
    20.

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