NICU Brain - Jan 2013
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NICU Brain Sheet - T.Woods, RN 1 04/18/2023
[Weight] [IV Access] [Respiratory Settings] [OLD WEIGHT]:
[PIV] [SL] [PICC] [GIRTH]:
[NEW WEIGHT]: SITE: HFNC: CPAP/Sypap: iNo:
7:00
7:00
[Fluids] Temp: Abd: Sats: Diaper:
8:00
8:00 TPN:
Temp: Abd: Sats: Diaper: Lipids:
9:00
9:00
[F
ED]:
Temp: Abd: Sats: Diaper: [Drips]
10:00
10:00 DOPAmine:
Temp: Abd: Sats: Diaper: DOBUtrex:
11:00
11:00 FENTanyl:
Temp: Abd: Sats: Diaper: VERsed:
12:00
12:00
[F
ED]: [Feeding]
Temp: Abd: Sats: Diaper: [NPO] [OGT] [PO]
1:00
1:00
Temp: Abd: Sats: Diaper:
2:00
2:00
Temp: Abd: Sats: Diaper:
3:00
3:00
[F
ED]:
Temp: Abd: Sats: Diaper:
4:00
4:00
Temp: Abd: Sats: Diaper:
5:00
5:00
Temp: Abd: Sats: Diaper:
6:00
6:00
[F
ED]:
Temp: Abd: Sats: Diaper:[Morning Labs] [Radiology] [Weight]
[GLU] [CBC] [BILI] [BMP] [ALKP] [RETIC] [ABG] [CBG] [LFT] [CXR] [KUB] [ECHO] [HUS]
Patient Label [Critical Labs]: [Output] [Glucometer]: [Void] [Stool]
ETT Size: Rate: PIP/Peep: O2 %: I-Time: PS: SATs:
B/P: HR: RR:
B/P: HR: RR:
B/P: HR: RR:
2nd Port:
B/P: HR: RR:
B/P: HR: RR:
B/P: HR: RR:
B/P: HR: RR:
[EAT
S]:
B/P: HR: RR:
B/P: HR: RR:
B/P: HR: RR:
B/P: HR: RR:
B/P: HR: RR: