Patient Care Repot 3 Per Page

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Date:
0700/1900
0800/2000
0900/2100
1000/2200
1100/2300
1200/2400
1300/0100
1400/0200
1500/0300
1600/0400
1700/0500
1800/0600
Room #:
Name:
MRN:
Age:
DOB:
Sex:
Diagnosis:
Safety
Tubing
Bath
Oral
PRN Meds
Code Status:
Weight (kg):
Diet
Allergies:
IVF/Access
End-of-Shift:
Assessment
l&O
Care Plan
Education
0700/1900
0800/2000
0900/2100
1000/2200
1100/2300
1200/2400
1300/0100
1400/0200
1500/0300
1600/0400
1700/0500
1800/0600
Room #:
Name:
MRN:
Age:
DOB:
Sex:
Diagnosis:
Safety
Tubing
Bath
Oral
PRN Meds
Code Status:
Weight (kg):
Diet
Allergies:
IVF/Access
End-of-Shift:
Assessment
l&O
Care Plan
Education
0700/1900
0800/2000
0900/2100
1000/2200
1100/2300
1200/2400
1300/0100
1400/0200
1500/0300
1600/0400
1700/0500
1800/0600
Room #:
Name:
MRN:
Age:
DOB:
Sex:
Diagnosis:
Safety
Tubing
Bath
Oral
PRN Meds
Code Status:
Weight (kg):
Diet
Allergies:
IVF/Access
End-of-Shift:
Assessment
l&O
Care Plan
Education

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