DATE:_________ ROOM #:___________ GENERAL SURVEY: DAY 1 Oriented X_____. DAY 2:
DATE:_________ ROOM #:___________ GENERAL SURVEY: DAY 1 Oriented X_____. DAY 2: (Changes from previous day) Oriented X_____. VITALS: T: _____ P:_____ R:______ B/P:_______ Height:______ Weight: _________ O2:________ Nasal Cannula: Y/N SpO2____L VITALS: T: _____ P:_____ R:______ B/P:_______ Height:______ Weight: _________ SpO2:___________ Nasal Cannula: Y/N CARDIOVASULAR: Apical:________ Radial:___________ Pedal:_________ Carotid:_________ Brachial:_________ B/P: _______ Pulse: _______ Cap Refill:_______ Apical:________ Radial:___________ Pedal:_________ Carotid:_________ Brachial:_______ B/P: _______ Pulse: _______ Cap Refill:_______ RESPIRATORY: Rate_______ O2:_______ +SpO2____L Sounds:________ Rhythm:_______ Depth:_________ Nasal flaring: Y/N Accessory Abdominal muscles: Y/N RESPIRATORY: Rate_______ O2:_______ +SpO2____L Sounds:________ Rhythm:_______ Depth:_________ Nasal flaring: Y/N Accessory Abdominal muscles: Y/N GASTROINTESTINAL: Abdominal contour:_____________ Last BM:___________ Palpated:____________ Bowel Sounds X___ Hyperactive/Hypoactive Laxative:___________ GENITOURINARY: DATE:_________ ROOM #:___________ OUTPUT:________ Prostate Problems:________ Foley: Y/N MUSCULOSKELETAL: ROM:_________ Strength:_____________ GAIT:_________ Assistance: Y/N Disabilities:___________ INTEGUMENTARY: Mucous membranes:___________ Edema:_____________ IV SITES:________________ Wounds:_______________________________________ Turgor:_____________ Temp:_______________ Moisture:___________________ uploads/s1/ date-room.pdf
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Licence et utilisation
Gratuit pour un usage personnel Attribution requise- Détails
- Publié le Jui 29, 2022
- Catégorie Administration
- Langue French
- Taille du fichier 0.2623MB