CENTRO ESCOLAR UNIVERSITY 

SCHOOL OF NURSING 
RECORDING SHEET 

KARDEX 
DATE  INTRAVENOUS FLUID + DATE  MEDICINE DOSAGE  
SIDE  DRIP AND TPN FREQUENCY

BLOOD TRANSFUSION

NURSING INTERVENTIONS

DIAGNOSTIC PROCEDURES
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CONTRAPTIONS

Operation Procedure  DIET

Name: Age: Sex:               CS:

Address:                                                                                   Birthday:
Diagnosis:

Attending Physician:                                         Referral:

Allergy:              

Admission Date/Time: Trans. in/out date and time:

Ward:                                           Room No.