Hospital Patient Flow Sheet PDF

Preview

Summary

Patient flow sheet to keep track of pertinent data...

Description

YOU GOT THIS FUTURE NURSE! Rm/Pt:

Age:

Admit:

Allergies:

Code:

From:

Activity:

Reason:

MDs:

Hx: Privacy:

Diet:

d/c: Na

BS:

OG NG Tube Feed:

Therapy:

Labs:

Dobhoff Flush Rate: WBC

Goal:

Cl

95- BUN

135K

105 CO2

3.5-5

22-30

Ca

7-20 Crt 0.6-1.2

12-17 Hct

11-15

36-52%

Ph o s

PT Plts 150-450

Misc Labs:

3.5-4.5 Glucose

1.5-2.5 70-115

Hgb

4-10 RBC

911 Mg

PTT

10-13

pH

25-35

PaO2

7.38- 80-100 PacO2 HCO3

INR 0.8 - 1.2

35-45

Cardiac:

Resp: RA/NC/Airvo/BiPAP/Trach/Lary

Doppler:

Airvo:

21-30

Neuro: Orientation/LOC:

BiPAP:

Pupils: Deficits:

Vent: GI:

Peep:

RR:

UR:

Drains:

Foley/Bedpan/commode/BR Last BM: Skin:

Diagnostics:

IV:

Intake: 800 Vitals

900 Vitals

1000 Vitals

1100 Vitals

1200 Vitals

RASS ET Rstrnt

RASS

RASS ET Rstrnt

RASS

RASS ET Rstrnt

Care Plan

Vitals

Pain Goal

Pain/RASS

1300 Vitals RASS

1400 Vitals RASS

1600 Vitals

1700 Vitals

1800 Vitals

1900 Vitals

RASS

RASS ET Rstrnt

RASS

RASS ET Rstrnt

RASS

ET Rstrnt

Vitals 0800/2000 Temp:

1500 Vitals

Vitals 1200/0000 Temp:

Vitals 1600/0400 Temp:

Braden

Assessment

HR:

HR:

HR:

Fall Risk Education

IV/lines ADLs

RR: BP

RR: BP

RR: BP

Tele

SpO2:

SpO2:

SpO2:

I&O Medications:

Pain: Nursing Dx:

Pain: Nursing Interventions:

Pain: Miscellaneous:

REPORT OFF TO YOUR NURSE AND GET HOME AND STUDY!...