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Patient Profile and Monitoring Data

This document contains a room profile template with fields for a patient's age, sex, hospital number, patient ID, diagnosis, vital signs, intake and output, and other relevant medical information. The profile is repeated three times, presumably to track information for multiple patients in the same room.

Uploaded by

Gabriel Cuenco
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132 views2 pages

Patient Profile and Monitoring Data

This document contains a room profile template with fields for a patient's age, sex, hospital number, patient ID, diagnosis, vital signs, intake and output, and other relevant medical information. The profile is repeated three times, presumably to track information for multiple patients in the same room.

Uploaded by

Gabriel Cuenco
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

ENDORSER:

ROOM PROFILE: Age: DA: TA: Diagnosis: VS: FLATUS: EMESIS:


# IV:
I&O: BM: DRAIN:
Sex: Hospital #: Patient ID:
SD: INTAKE: UO: BLOOD:
TIME: TIME: TIME: TIME:
AMD:
Package B B B B
REFERRALS: Specialty: P P P P

Non T: T: T: T:
Package
P P P P
R R R R
PHIC
R R R R
R R R R
Non
O2 O2 O2 O2
PHIC
sat sat sat sat
Pain: Pain: Pain: Pain:
HMO
CBG: CBG: CBG: CBG:
Type: DIET:
OTHERS: OTHERS: OTHERS: OTHERS:
ALLERGY:

ENDORSER:
ROOM PROFILE: Age: DA: TA: Diagnosis: VS: FLATUS: EMESIS:
# IV:
I&O: BM: DRAIN:
Sex: Hospital #: Patient ID:
SD: INTAKE: UO: BLOOD:
TIME: TIME: TIME: TIME:
AMD:
Package B B B B
REFERRALS: Specialty: P P P P

Non T: T: T: T:
Package
P P P P
R R R R
PHIC
R R R R
R R R R
Non
O2 O2 O2 O2
PHIC
sat sat sat sat
Pain: Pain: Pain: Pain:
HMO
CBG: CBG: CBG: CBG:
Type: DIET:
OTHERS: OTHERS: OTHERS: OTHERS:
ALLERGY:

ENDORSER:
ROOM PROFILE: Age: DA: TA: Diagnosis: VS: FLATUS: EMESIS:
# IV:
I&O: BM: DRAIN:
Sex: Hospital #: Patient ID:
SD: INTAKE: UO: BLOOD:
TIME: TIME: TIME: TIME:
AMD:
Package B B B B
REFERRALS: Specialty: P P P P

Non T: T: T: T:
Package
P P P P
R R R R
PHIC
R R R R
R R R R
Non
O2 O2 O2 O2
PHIC
sat sat sat sat
Pain: Pain: Pain: Pain:
HMO
CBG: CBG: CBG: CBG:
Type: DIET:
OTHERS: OTHERS: OTHERS: OTHERS:
ALLERGY:

ENDORSER:
ROOM PROFILE: Age: DA: TA: Diagnosis: VS: FLATUS: EMESIS:
# IV:
I&O: BM: DRAIN:
Sex: Hospital #: Patient ID:
SD: INTAKE: UO: BLOOD:
TIME: TIME: TIME: TIME:
AMD:
Package B B B B
REFERRALS: Specialty: P P P P

Non T: T: T: T:
Package
P P P P
R R R R
PHIC
R R R R
R R R R
Non
O2 O2 O2 O2
PHIC
sat sat sat sat
Pain: Pain: Pain: Pain:
HMO
CBG: CBG: CBG: CBG:
Type: DIET:
OTHERS: OTHERS: OTHERS: OTHERS:
ALLERGY:

ENDORSER:
ROOM PROFILE: Age: DA: TA: Diagnosis: VS: FLATUS: EMESIS:
# IV:
I&O: BM: DRAIN:
Sex: Hospital #: Patient ID:
SD: INTAKE: UO: BLOOD:
TIME: TIME: TIME: TIME:
AMD:
Package B B B B
REFERRALS: Specialty: P P P P

Non T: T: T: T:
Package
P P P P
R R R R
PHIC
R R R R
R R R R
Non
O2 O2 O2 O2
PHIC
sat sat sat sat
Pain: Pain: Pain: Pain:
HMO
CBG: CBG: CBG: CBG:
Type: DIET:
OTHERS: OTHERS: OTHERS: OTHERS:
ALLERGY:

TAGS: Medication Card:

Blue – OB Yellow – New Born Blue – Q1, Q6, Q12 Yellow – BID – 8am & 6pm cutoff 12MN max 10°
Green – Surgical Pink – Pedia Green – QID Q4 RTC – 8, 12, 4, 8 Pink – TID – 8, 1, 6 max 5°
White – Ortho Orange – Medical White – OD Orange – PRN

//mgbcV13.0

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