Ed Trauma Flow Sheet Page 2

ADVERTISEMENT

D=Dilated
E=Equal
F=Fixed
P=Pinpoint
PUPIL LEGEND
1:
2:
3:
4:
5:
2
3
4
5
6
7
8
9
TIME
BP
PULSE:
RESP RATE
ARTERIAL BLOOD GASSES
TEMP
TIME
F l O
P h
p CO
p O
H C O
O
SAT
2
2
2
3
2
GCS
/
/
/
/
/
PUPILS L / R
6:
7:
8:
9:
10:
TIME
BP
PULSE:
RESP RATE
TEMP
MEDICATIONS
O
SAT
2
2
TIME
DRUG
DOSE
ROUTE
SITE
INITIALS
GCS
/
/
/
/
/
PUPILS L / R
11:
12:
13:
14:
15:
TIME
BP
PULSE:
RESP RATE
TEMP
O
SAT
2
2
GCS
/
/
/
/
/
PUPILS L / R
16:
17:
18:
19:
20:
TIME
BP
BLOOD PRODUCTS
PULSE:
TYPE & CROSS:
TIME SPECIMEN SENT:
RESP RATE
EMERGENCY 2 Units of PRBC:
TIME:
TEMP
TIME
TIME
O
SAT
UNIT #
P R B C W B
SITE
BY
TOTAL
2
2
UP
DOWN
GCS
/
/
/
/
/
PUPILS L / R
LABWORK
TIME
SENT
RESULT
BS
BUN
Cr
TIME
REQUEST
RESULTS
Na
Lat Cspine Portable
K
Complete Cspine Series
Cl
Chest (Upright) Portable
CO
2
Chest (Flat) Portable
Ca
Pelvis Portable
Phos
Lat Cspine Portable
Mg
Other:
CKO
Other:
PT
Other:
PTT
Other:
WBC
Other:
Hgb
Other:
Hct
PART OF THE MEDICAL RECORD
PAGE 2 of 6
8850011 Rev 05/05
ED Trauma Flow Sheet_EMERGENCY ROOM

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 6