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IM Scut Sheet

This document contains a template for recording patient information including name, room number, symptoms, medications, vital signs, intake and output, physical exam findings, lab and test results, imaging, procedures, consults, assessment, plan of care, and preventative measures. The template includes fields for recording this information for two patients.

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Cluster 1 2023
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1K views1 page

IM Scut Sheet

This document contains a template for recording patient information including name, room number, symptoms, medications, vital signs, intake and output, physical exam findings, lab and test results, imaging, procedures, consults, assessment, plan of care, and preventative measures. The template includes fields for recording this information for two patients.

Uploaded by

Cluster 1 2023
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Name: Room: Name: Room:

S: O/N Events: Pt Report: S: O/N Events: Pt Report:


PRN meds: Sx PRN meds: Sx
Nurse: Pain / BM / Eat / UOP Nurse: Pain / BM / Eat / UOP

O: Vitals: T Tm BP range P O: Vitals: T Tm BP range P


RR O2 RR O2

I/O: I/O:

PE: PE:

Labs: Labs:

Micro/Path: EKG/Tele: Micro/Path: EKG/Tele:


Blood/Urine/Other: Blood/Urine/Other:

Imaging: Studies/Procedures: Imaging: Studies/Procedures:

Consults: Consults:

A/P: A/P:

1. 1.

2. 2.

3. 3.

4. 4.

5. 5.

6. 6.

Diet Diet
IVF IVF
DVT PPX DVT PPX
GI PPX GI PPX
Bowel Reg Bowel Reg
Pain Pain
Access Access

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