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  • Brain Sheet2011

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    nursekatie
    25 views1 page
    The document contains a template for recording patient information including name, room number, physician, code status, allergies, diagnoses, history, vitals, activity, diet, pain levels, medication administration times, labs, tasks, and shift interventions for 3 patients. Information would be filled in the corresponding fields for each patient.

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    brain sheet2011

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    © Attribution Non-Commercial (BY-NC)

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    The document contains a template for recording patient information including name, room number, physician, code status, allergies, diagnoses, history, vitals, activity, diet, pain levels, medication administration times, labs, tasks, and shift interventions for 3 patients. Information would be filled in the corresponding fields for each patient.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    25 views1 page

    Brain Sheet2011

    Uploaded by

    nursekatie
    The document contains a template for recording patient information including name, room number, physician, code status, allergies, diagnoses, history, vitals, activity, diet, pain levels, medication administration times, labs, tasks, and shift interventions for 3 patients. Information would be filled in the corresponding fields for each patient.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 1

    Name: Name: Name:

    RM #: RM #: RM #:
    Sex/Age/DOB: Sex/Age/DOB: Sex/Age/DOB:
    Physician: Physician: Physician:
    CODE STATUS: CODE STATUS: CODE STATUS:
    Allergies: Allergies: Allergies:

    Dx: Dx: Dx:


    Hx: Hx: Hx:
    Wt: Ht: Wt: Ht: Wt: Ht:
    IV: Vitals IV: Vitals IV: Vitals
    O2: O2: O2:
    Foley: Foley: Foley:
    Activity: Activity: Activity:
    Diet: Diet: Diet:
    Pain: Accu Checks Pain Accu Checks Pain Accu Checks

    0700/1900 0700/1900 0700/1900

    0800/2000 0800/2000 0800/2000

    0900/2100 0900/2100 0900/2100

    1000/2200 1000/2200 1000/2200

    1100/2300 1100/2300 1100/2300

    1200/0000 1200/0000 1200/0000

    1300/0100 1300/0100 1300/0100

    1400/0200 1400/0200 1400/0200

    1500/0300 1500/0300 1500/0300

    1600/0400 1600/0400 1600/0400

    1700/0500 1700/0500 1700/0500

    1800/0600 1800/0600 1800/0600

    Relevant/Abnormal Labs To Do: Relevant/Abnormal Labs To Do: Relevant/Abnormal Labs To Do:

    Shift Interventions Shift Interventions Shift Interventions

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