Rm#

Student RN
Patient
Diagnosis

(Hx)

Allergies

Activity/Diet
IVF/Rate

IV access
Tubes

Solution/Rate
Wounds
Tx
Glucometer?

7:30/units
1130/units

Labs/Dx
studies

T– T- T– T- T– T- T– T-
P– P- P– P- P– P- P– P-
RR – RR- RR – RR- RR – RR- RR – RR-
BP – BP- BP – BP- BP – BP- BP – BP-
O2 – O2- O2 – O2- O2 – O2- O2 – O2-
Pain: Pain: Pain: Pain: Pain: Pain: Pain: Pain:

MEDS

PIE
Document

Notes: