Patient Basic Brain Sheet Template

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Room
Age
lbm
Room
Age
lbm
Allergies
Code
Fall
Allergies
Code
Fall
Dx
Assessment
Dx
Assessment
Recent hx
Neuro
Recent hx
Neuro
Pain
Pain
Resp
Resp
CV
CV
GI
GI
GU
GU
Mobility
Mobility
PMH
Skin
PMH
Skin
Plan of care
IV’s/ports/punctures
Plan of care
IV’s/ports/punctures
Vital Signs
Vital signs
Labs/tests
Drips
Labs/tests
Drips
Room
Age
lbm
Room
Age
lbm
Allergies
Code
Fall
Allergies
Code
Fall
Dx
Assessment
Dx
Assessment
Recent hx
Neuro
Recent hx
Neuro
Pain
Pain
Resp
Resp
CV
CV
GI
GI
GU
GU
Mobility
Mobility
PMH
Skin
PMH
Skin
Plan of care
IV’s/ports/punctures
Plan of care
IV’s/ports/punctures
Vital Signs
Vital signs
Labs/tests
Drips
Labs/tests
Drips

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Parent category: Medical
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