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  • MMMHMC-N-QP-022-FORM 1 REV.0 Intravenous Fluid Flow Sheet Template < 40 chars

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    Wyn Agustin
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    IV-fluid-sheet

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    344 views1 page

    MMMHMC-N-QP-022-FORM 1 REV.0 Intravenous Fluid Flow Sheet Template < 40 chars

    Uploaded by

    Wyn Agustin

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    MMMHMC-N-QP-022-FORM 1 REV.

    0-INTRAVENOUS FLUID FLOW SHEET

    MARIANO MARCOS MEMORIAL HOSPITAL AND MEDICAL CENTER


    Batac City, Ilocos Norte

    INTRAVENOUS FLUID FLOW SHEET

    Surname Age Hospital Number


    __________________________________________ ____________ ______________________
    Given Name MI Sex Ward Bed. No.
    _______________________ _________ _____M ____F _________ _______

    Type of Flow
    I.V.
    Date & Type of Cannulae / Rate / Date &
    Fluid Nurse’s Nurse’s
    Time I.V. Fluid Drug Additives Needle & Infusio Time Remarks
    Bottle. Signature Signature
    Started & Volume Location of n Consumed
    No.
    Insertion Device

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