brainsheet_2patient_v2 (1)
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7/26/2019 BrainSheet_2Patient_v2 (1)
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Nursing Brains ~ 2 Patient v.2 Compliments of www.ChecklistRN.com
Name: Room:
Code Status: Age:
Admit Date: MD:
Diagnosis:
History:
Allergies:
Diet: Activity Level:
Weight: I/O Monitoring:
Special Needs / Precautions:
Head to Toe Assessment Abnormalities:
IVs, Catheters, Suction/Feeding Tubes (type/location):
Date(s) Inserted:
IV Fluids:
Scheduled Labs/Procedures:
Meds & VS Schedule:
0800
0900
1000
1100
1200
1300
1400
1500
1600
1700
1800
PRN Meds:
Miscellaneous (consults, discharge plans, etc.):
Name: Room:
Code Status: Age:
Admit Date: MD:
Diagnosis:
History:
Allergies:
Diet: Activity Level:
Weight: I/O Monitoring:
Special Needs / Precautions:
Head to Toe Assessment Abnormalities:
IVs, Catheters, Suction/Feeding Tubes (type/location):
Date(s) Inserted:
IV Fluids:
Scheduled Labs/Procedures:
Meds & VS Schedule:
0800
0900
1000
1100
1200
1300
1400
1500
1600
1700
1800
PRN Meds:
Miscellaneous (consults, discharge plans, etc.):