Nurse Brain Sheets

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Dx
PMH
AOX 3 2 1 Confused Forgetful
EF_____ Venodynes
Neuro
Cards
SR ST SB AF FL
Resp
GI
_____LPM
NC RA
Incont Guiaic
GU
Skin/Wound
Foley Voiding Incont
BNP
Strict I/O
Labs
Routine VS q4° Daily Wgt
Ca
T _______
BP _______
CK
Mag
HR _______
O
________
2
R _______
LS ________
PT/INR_______ PTT_______
Pho
Trop
Meds
Cath/EP Lab
IV
SL gtts
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Fent ________
Versed ______
FS
Cont _______
8______ 12 ______ 17 ______ 18 ______ 22 ______
IVF _________
Plans
Call MD
<_____ >_____
HR
<_____ >_____
SBP
> ____
>_____
DBP
T
<_____ >_____
RR
<____
____
O
PTT >
2
RΔ Fall
Activity
Precaution
Diet
ad lib BR x _____° BRP AMB
Fall Bleed ASP
NPO HH
2gNA ______ADA
Renal Regular
OOB to Chair c Assist x _____
Cont
Air Drop
Name & Age
Code
Allergy
MD
N
NKDA
CC
R
1
I/O
Full
DNR/I
LC#
DX
Rm

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