Rm

Allergies

CODE

CoreMeasures CHF AMI PNA SCIP

Dx

Name:
Na K Cl CO2

Labs
BUN Creat glucose

Report admit from:

GFR

Vitals t p bp rr O2 L:____ pain IV

( mnoc ) (

) Mg:

WBC

hgb hct

plt

BNP: tropi:

Pt: PTT:

INR:

PCA:
site gtt/ivf started site/tubing

#1: #2: D/C plan: #3: Drains/tubes Specimens

UA / CS STOOL SPUTUM

AM PROCEDURE

Cultures

Neuro A/Ox

Pain

Cardiac/TELE rate/rhythm

Resp lungs: cough/prod

PLAN/ ORDERS/ TO DO:

edema O2 Nebs GU brp/bsc foley urinal bp INC. abd: bs n/v/c/d walker/cane/ BM dressing lab labels GI diet: Act FALL Skin indep/ 1/ 2/ dep

Accu HS: AM:

21: 00:

8pm NurAs VascAs Outcom Mobility Teach

( ) pain ( )

mnoc NurAs VascAs strip Vitals I/O

MAR 24HR CHART AUDIT

06:

anticoag