Student Name:_______________________________ Clinical Date:_________________________

Glendale Career College

ADN Program
Diagnostic Test and Procedures Sheet
(Invasive and Noninvasive)

DIAGNOSTIC TESTS/PROCEDURES Invasive and Noninvasive (Surgeries, CXR, 12-LEAD ECG, Scans, Cardiac Cath,
etc.)
This includes Xrays, CTs, MRIs, USs, Dopplers, Colonoscopies, EGDs, etc. NEVER PUT LAB RESULTS HERE

Test/Procedure
Date: Results:
:
Why was this test ordered:

Test/Procedure
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Test/Procedure
Date: Results:
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Why was this test ordered:

Test/Procedure
Date: Results:
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Why was this test ordered:

Test/Procedure
Date: Results:
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Why was this test ordered:

Test/Procedure
Date: Results:
:
Why was this test ordered:

Sept 2013 KA