Transcription of Telemetry Unit SBAR Brain - scrubsmag.com
1 NURSE Brain SHEET Telemetry UNIT SBAR allergies S Patient name Age Room number Admit date 1 Dx 2 Dx C/O Code status Advanced directive on chart? Physician Attending Consultants Pgr/# B History Surgery: Surgeon Anesthesia Anesthesiologist EBL Isolation Core Measures Restraints CHF MI PNA Fall risk Vaccine PNA Flu Cardiac: BP/HR/Peripheral pulses/Edema/Heart sounds Current rhythm Daily wt?
2 DVT prophylaxis Pain/sedation Pain scale Location Meds type and last dose Pulmonary: Breath sounds/Secretions/ SpO2/UPAs/PIP/ Spontaneous VT & VE Vent/bipap etc settings Accu checks A1C Frequency Last Results GI NG/OGT BS Last BM Diet GI Prophylaxis GU Foley/void Output Skin Wounds/Drainage Staples Drains Location Ducub photo on admission IV Date inserted Fluids Gtts
3 Psych Social Meds Pending orders Na Cl Bun gluc mg BNP UA K Co Cr Ca Phos DDimer A Cardiac enz 1 2 3 Coags INR PTT Next lab Hct W Pl Hgb Cultures CT CXR MRI Echo R DC Plan. Is pt informed of plan___ 24 hour orders reviewed____ Shift goals
