Nursing Report Sheet Template PDF

Title	Nursing Report Sheet Template
Course	Nursing 3
Institution	Community College System of New Hampshire
Pages	1
File Size	72.9 KB
File Type	PDF
Total Downloads	43
Total Views	155

Preview

CLICK TO PREVIEW PDF

Summary

jglhcxlytx...

Description

Patient Name:__________________________

Patient Room:_________ DOB:___________ Sex:__

Doctors: Diagnosis: Allergies: History: Code Status: VS: 0700 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________ 1200 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________ 1600 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________ Blood Sugars: 0700___________ 1200_________ 1700_____________2200______________ Med Pass: 0700 0800 0900 1000 1100 1200 1300 1400 1500 1600 1700 1800 1900 2000 2100 2200 2300 2400 0100 0200 0300 0400 0500 0600 Intake: Breakfast_____________Lunch_______________Supper_____________ ____ Other:________________ Output: Foley___________BM:________ Emesis_______Drains:_______ Tubes______ Ostomy Bag:___________ Labs:__________________________________________________Needed Labs:____________________________ Future Procedures:______________________________________________________________________________

********************************************************** Patient Name:__________________________

Patient Room:_________ DOB:___________ Sex:__

Doctors: Diagnosis: Allergies: History: Code Status: VS: 0700 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________ 1200 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________ 1600 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________ Blood Sugars: 0700___________ 1200_________ 1700_____________2200______________ Med Pass: 0700 0800 0900 1000 1100 1200 1300 1400 1500 1600 1700 1800 1900 2000 2100 2200 2300 2400 0100 0200 0300 0400 0500 0600 Intake: Breakfast_____________Lunch_______________Supper_____________ ____ Other:________________ Output: Foley___________BM:________ Emesis_______Drains:_______ Tubes______ Ostomy Bag:___________ Labs:__________________________________________________Needed Labs:____________________________ Future Procedures:______________________________________________________________________________

********************************************************** Patient Name:__________________________

Patient Room:_________ DOB:___________ Sex:__

Doctors: Diagnosis: Allergies: History: Code Status: VS: 0700 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________ 1200 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________ 1600 BP:________HR:_______ Temp:______O2 Sat:__________ O2:_____ RR:______Pain:________ Blood Sugars: 0700___________ 1200_________ 1700_____________2200______________ Med Pass: 0700 0800 0900 1000 1100 1200 1300 1400 1500 1600 1700 1800 1900 2000 2100 2200 2300 2400 0100 0200 0300 0400 0500 0600 Intake: Breakfast_____________Lunch_______________Supper_____________ ____ Other:________________ Output: Foley___________BM:________ Emesis_______Drains:_______ Tubes______ Ostomy Bag:___________ Labs:__________________________________________________Needed Labs:____________________________ Future Procedures:______________________________________________________________________________...