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    Clinical Report Sheet-1

    Uploaded by

    sandra
    The document contains information about a patient's room number, name, age, sex, admitting physician and date, code status, diagnosis, past medical history, allergies, diet, IV access, physical/occupational/respiratory therapy needs, isolation status, activity level, vital signs monitoring, intake and output, labs, scheduled procedures, medications including dosage, classification, action, indication and required monitoring, and nursing interventions.

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    © All Rights Reserved
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    Clinical Report Sheet-1

    Uploaded by

    sandra
    22 views2 pages
    The document contains information about a patient's room number, name, age, sex, admitting physician and date, code status, diagnosis, past medical history, allergies, diet, IV access, physical/occupational/respiratory therapy needs, isolation status, activity level, vital signs monitoring, intake and output, labs, scheduled procedures, medications including dosage, classification, action, indication and required monitoring, and nursing interventions.

    Original Description:

    Nursing report sheet

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    The document contains information about a patient's room number, name, age, sex, admitting physician and date, code status, diagnosis, past medical history, allergies, diet, IV access, physical/occupational/respiratory therapy needs, isolation status, activity level, vital signs monitoring, intake and output, labs, scheduled procedures, medications including dosage, classification, action, indication and required monitoring, and nursing interventions.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    22 views2 pages

    Clinical Report Sheet-1

    Uploaded by

    sandra
    The document contains information about a patient's room number, name, age, sex, admitting physician and date, code status, diagnosis, past medical history, allergies, diet, IV access, physical/occupational/respiratory therapy needs, isolation status, activity level, vital signs monitoring, intake and output, labs, scheduled procedures, medications including dosage, classification, action, indication and required monitoring, and nursing interventions.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Rm Patient Name Age/Sex

    MD Date Admitted Code Status

    Diagnosis

    Past Medical History

    Allergies

    Diet Foley /Ostomy/NGT/Feeding tube/NPO Tele#

    IV site IV fluids Weight

    PT/OT/RT Bath- Self Accucheck


    Partial AC/HS _______/_________
    Total Every 6 hours_______/_________
    Isolation/Type & Why Shower Every 4 hours_______/_________
    Contact_______________
    Special _______________
    Activity level Bed rest, OOB to chair, ambulate in halls
    Turn/reposition every 2 hours
    Chemotherapy

    VS frequency 02

    Intake

    Meals %
    % % Output

    L
    A
    B
    S

    Scheduled Procedures/ Misc Info


    Medicati Safe Classificatio Action Indication Labs to Nursing
    on n be Interventions
    Dos Why is aware of
    e your
    patient
    taking the
    med

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