Transcription of New Shift Report Sheet Brain - scrubsmag.com
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New Shift Report Sheet Brain - scrubsmag.com
Brain Sheet NEW Shift Report Room:_____ DATE:_____ Patient_____Age___Sex____ Admitted: _____HD:_____LOS:_____ Diagnosis:_____Procedure_____ Comorbid Conditions\Hx:_____ Code Status:_____Allergies_____ _____ SIGNIFICANT HOSPITAL HISTORY BODY SYSTEMS Neuro: Orientation: Psych/Soc Pupils: Extremity Strength Temp: Activity Weight: Fall Precaution: Restraints Neuro: PLAN: VARIANCE CV: Rhythm: HR: BP: A Line Swan Ganz: PA PAWP CVP: CO Pacer Wires: K+: CPK: CBC: Hct: PT Mg+: MB s: Trop: HGB PTT Ca: Edema (small= +1 moderate=+2 Pitting= +3) Pulses (R) (L) (absent=0 weak=1 strong=2) PICC/Central line/ IJ: Hep Lock: DRIPS: cc/hr Cardiovascular: PLAN: VARIANCE PUL: Extub: RR: O2 BS: Mask: Coughing Sputum
BRAIN SHEET – NEW SHIFT REPORT Room:_____ DATE: _____ Patient_____Age___Sex____ Admitted: _____HD:_____LOS:_____
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