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  • Report Sheet

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    Bluesunset1
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    This document contains fields for recording vital signs, patient identification information, history of present illness, past medical history, neurological and musculoskeletal exams, cardiac, respiratory, gastrointestinal/genitourinary exams, skin exam, notes, isolation status, room number, code status, diet, tests/procedures, anticipated discharge date, labs, lines/IV fluids, telemedicine orders, tubes/drains, pain management, supplemental oxygen support, incontinence and output tracking, Braden scale assessment, goals of care, and scheduled medication passes for a hospitalized patient.

    Original Description:

    For labs

    Original Title

    Report+Sheet

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    This document contains fields for recording vital signs, patient identification information, history of present illness, past medical history, neurological and musculoskeletal exams, cardiac, respiratory, gastrointestinal/genitourinary exams, skin exam, notes, isolation status, room number, code status, diet, tests/procedures, anticipated discharge date, labs, lines/IV fluids, telemedicine orders, tubes/drains, pain management, supplemental oxygen support, incontinence and output tracking, Braden scale assessment, goals of care, and scheduled medication passes for a hospitalized patient.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    3 views1 page

    Report Sheet

    Uploaded by

    Bluesunset1
    This document contains fields for recording vital signs, patient identification information, history of present illness, past medical history, neurological and musculoskeletal exams, cardiac, respiratory, gastrointestinal/genitourinary exams, skin exam, notes, isolation status, room number, code status, diet, tests/procedures, anticipated discharge date, labs, lines/IV fluids, telemedicine orders, tubes/drains, pain management, supplemental oxygen support, incontinence and output tracking, Braden scale assessment, goals of care, and scheduled medication passes for a hospitalized patient.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    VITALS MORSE ISOLATION ROOM

    T _____ BP_____ HR_____ Sat_____ RR_____ FALL NUMBER

    PATIENT DOB ALLERGIES


    Age
    Sex CODE STATUS
    Admission Date
    Service/Provider Consults DIET BS CHECK

    HPI PLAN

    PMH Tests/
    Social Procedures
    Psych
    Family Antic D/C:

    NEURO Labs
    A/Ox

    MSK
    Gait
    Lines IV Fluids
    CARDIAC TELE
    Rhythm order
    Tubes/
    Pulses Drains
    Edema

    RESPIRATORY Pain
    Lung sounds Trach

    PRNs
    Supp. O2 CPAP/BiPAP

    GI/GU I’s O’s


    Urine BS
    Voids BM_______
    Foley

    SKIN
    Braden_____
    GOALS MED PASSES
    Wounds
    Dressing

    Notes

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