BrainSheet_2Patient_v3
1
Nursing Brains ~ 2 Patient v.3 Compliments of www.ChecklistRN.com Rm: Age: Initials: Admit: ♀ Dr. Diet : Allergy: Dx: Hx: Surg: Activity: Dr. Orders: IV Rate: Site________ Gauge________ Δ________ O2________ %@ ________ SVN________ Isolation: CT JP Penrose Trach LABS Notes: ASSESS Pain #: Tol: A&O : Pupils: R_____/_____ Lungs: A_____P____ Deep _____________ ♥: CapRefil: Skin: Edema: Grips/Pushes: UE____/____ LE____/____ Pulses: R_____/_____ P_____/_____ Abd_____ BS_____ Flatus_____ Time B/P P R O2 T Pain Accu ✓ BS______ Time______ Units_____ Accu ✓ BS______ Time______ Units_____ Meds: 07 08 09 10 11 12 13 14 15 Rm: Age: Initials: Admit: ♀ Dr. Diet : Allergy: Dx: Hx: Surg: Activity: Dr. Orders: IV Rate: Site________ Gauge________ Δ________ O2________ %@ ________ SVN________ Isolation: CT JP Penrose Trach LABS Notes: ASSESS Pain #: Tol: A&O : Pupils: R_____/_____ Lungs: A_____P____ Deep _____________ ♥: CapRefil: Skin: Edema: Grips/Pushes: UE____/____ LE____/____ Pulses: R_____/_____ P_____/_____ Abd_____ BS_____ Flatus_____ Time B/P P R O2 T Pain Accu ✓ BS______ Time______ Units_____ Accu ✓ BS______ Time______ Units_____ Meds: 07 08 09 10 11 12 13 14 15
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Brain Sheet 3
Transcript of BrainSheet_2Patient_v3
Name:
Nursing Brains ~ 2 Patient v.3
Compliments of www.ChecklistRN.com
Rm:Age:
Initials:
Admit: Dr.
Diet :
Allergy:
Dx: Hx:
Surg:Activity:Dr. Orders:IV Rate:Site________ Gauge________ ________O2________ %@ ________ SVN________Isolation:CT JP Penrose Trach G-tube J-tube Teds Plexis T-Guards Foley Urinal ISC Comode NG
LABS
Notes:ASSESS
Pain #: Tol:A&O : Pupils: R_____/_____
Lungs: A_____P____ Deep _____________: CapRefil: Skin: Edema:Grips/Pushes: UE____/____ LE____/____Pulses: R_____/_____ P_____/_____Abd_____ BS_____ Flatus_____ BM_____Drsgs/Wounds:Numb: Nausea:Dizzy: SOB:C/DB: Move Feet:
TXs: Is: Os:
Time
B/P
P
R
O2
T
Pain
Accu BS______ Time______ Units_____Accu BS______ Time______ Units_____
Meds: 07 08 09 10 11 12 13 14 15 Misc:
Rm:
Age:
Initials:
Admit: Dr.Diet :
Allergy:
Dx: Hx:
Surg:Activity:Dr. Orders:
IV Rate:Site________ Gauge________ ________
O2________ %@ ________ SVN________
Isolation:
CT JP Penrose Trach G-tube J-tube Teds Plexis T-Guards Foley Urinal ISC Comode NGLABS
Notes:ASSESS
Pain #: Tol:A&O : Pupils: R_____/_____
Lungs: A_____P____ Deep _____________
: CapRefil: Skin: Edema:
Grips/Pushes: UE____/____ LE____/____Pulses: R_____/_____ P_____/_____
Abd_____ BS_____ Flatus_____ BM_____
Drsgs/Wounds:Numb: Nausea:Dizzy: SOB:C/DB: Move Feet:
TXs: Is: Os:
Time
B/P
P
R
O2
T
Pain
Accu BS______ Time______ Units_____
Accu BS______ Time______ Units_____
Meds: 07 08 09 10 11 12 13 14 15 Misc:
