Room # Patient Name DOA Chief Age Sex Physician

Complaint
305 Jamaca, Ross 2/21/23 URTI 28 M Dr. Pepino and
Galon
SPECIAL ENDORSEMENTS IV FLUID
May walk around the room

For discharge, please issue med cert

HEPLOCK
Diet: DAT

Lab: Tube at laboratory; still to extract to send on 2/27

Room # Patient Name DOA Chief Age Sex Physician

Complaint
306 Pagalan, Sabio 2/23/23 CAP-MR 50 M Dr. Manalili
DM T2 and A. Sison
HPN ST2
MONITORING V/S I/O
Q4 Strict
SPECIAL ENDORSEMENTS IV FLUID
HOLD METFORMIN IV Line: 1 at 2/26
PLR at 80cc/hr
Refer to TB DOTS for work-up

Secure 1 unit PRBC transfuse for 4 hours

Diet: LF, LS, DM

Sputum Genexpert at 2/27 - sputum sample is collected

from the patient with suspected TB
CBC in AM at 2/27 (BO +)
Room # Patient Name DOA Chief Age Sex Physician
Complaint
310 Rodriguez, 2/24/23 Lower 67 F Dr. Rodriguez
Suzette extremities and Ron
weakness -
t/c
complicated
UTI
MONITORING V/S I/O
Q4 Strict
SPECIAL ENDORSEMENTS IV FLUID
HOLD METFORMIN IV Line: 1 at 2/27
PNSS iL a 20 gtts
Refer to TB DOTS for work-up

Secure 1 unit PRBC transfuse for 4 hours

Diet: LF, LS, DM

Sputum Genexpert at 2/27 - sputum sample is collected

from the patient with suspected TB
CBC in AM at 2/27 (BO +)

Room # Patient Name DOA Chief Age Sex Physician

Complaint

MONITORING V/S I/O

SPECIAL ENDORSEMENTS IV FLUID

Room # Patient Name DOA Chief Age Sex Physician
Complaint

MONITORING V/S I/O

SPECIAL ENDORSEMENTS IV FLUID

Room # Patient Name DOA Chief Age Sex Physician

Complaint

MONITORING V/S I/O

SPECIAL ENDORSEMENTS IV FLUID

ENDORSEMENT SCRIPT
Head nurse script for endorsement:
Good noon maam/sir (name of charge nurse on duty), sir Joseph. I am Bern Nerquit, one of the
head nurses for this shift. Census covered, a total of _ patients, and __ of these were under my
care.

Room #:
Name:
Age:
Attending physician:
Chief complaint:
Diagnosis:
IVF: (unsay running line and iya flow rate)
Latest vital signs: (Noon VS, and in TPR BP O2 order)
Medications given: (name of medication and dosage)
Special endorsements: (find time to borrow the kardex sa staff kay mag copy mo didto sa info
ninyo para ani)

ENDORSEMENT #1
Good noon maam/sir (name of charge nurse on duty), sir Joseph. I am Bern Nerquit, one of the
head nurses for this shift. Census covered, a total of ____ patients, and ____ of these were under
my care.

Room #: 305
Name: Jamaca, Ross
Age: 28
Attending physician: Dr. Pepino and Dr. Galon
Chief complaint: Upper respiratory tract infection
Diagnosis:
IVF: (unsay running line and iya flow rate): HEPLOCK
Latest vital signs: (Noon VS, and in TPR BP O2 order)

Time T P R BP 02
Noon

Medications given: (name of medication and dosage)

•
Special endorsements: (find time to borrow the kardex sa staff kay mag copy mo didto sa info
ninyo para ani)

ENDORSEMENT #2
Good noon maam/sir (name of charge nurse on duty), sir Joseph. I am Bern Nerquit, one of the
head nurses for this shift. Census covered, a total of ____ patients, and ____ of these were under
my care.

Room #: 306
Name: Pagalan, Sabio
Age: 50
Attending physician: Dr. Manalili and A. Sison
Chief complaint: CAP-MR, DM T2, HPN ST2
Diagnosis:
IVF: (unsay running line and iya flow rate): IV line 1 due on 2/26, PLR AT 80 cc/hr
Latest vital signs: (Noon VS, and in TPR BP O2 order)

Time T P R BP 02
Noon

Medications given: (name of medication and dosage)

•
Special endorsements: (find time to borrow the kardex sa staff kay mag copy mo didto sa info
ninyo para ani)

ENDORSEMENT #3
Good noon maam/sir (name of charge nurse on duty), sir Joseph. I am Bern Nerquit, one of the
head nurses for this shift. Census covered, a total of ____ patients, and ____ of these were under
my care.

Room #: 310
Name: Rodriguez, Suzette
Age: 67
Attending physician: Dr. Rodriguez and Ron
Chief complaint: Lower extremities weakness
Diagnosis: t/c complicated UTI
IVF: (unsay running line and iya flow rate): IV line 1 due on 2/27, PNSS 1L at 20 gtts/min
Latest vital signs: (Noon VS, and in TPR BP O2 order)

Time T P R BP 02
Noon

Medications given: (name of medication and dosage)

•
Special endorsements: (find time to borrow the kardex sa staff kay mag copy mo didto sa info
ninyo para ani)