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Student Nurse Worksheet Student Nurse:

Room: Age: Dr. V/S: Activity: Fluid Rest.: 02 Conc: IV site: Initials: Sex: Admit Dx. Current Surg: Chronic Dx: Diet: 02 Device: IV drip/s: Sliding Scale CBG >:

Date:
Room: Age: Dr. V/S: Activity: Fluid Rest.: 02 Conc: IV site:

Rooms Assigned:
Initials: Sex: Admit Dx. Current Surg: Chronic Dx: Diet: 02 Device: IV drip/s: Sliding Scale CBG >: Room: Age: Dr. V/S: Activity: Fluid Rest.: 02 Conc: IV site: Initials: Sex: Admit Dx. Current Surg: Chronic Dx: Diet: 02 Device: IV drip/s: Sliding Scale CBG >: Room: Age: Dr. V/S: Activity: Fluid Rest.: 02 Conc: IV site: Initials: Sex: Admit Dx. Current Surg: Chronic Dx: Diet: 02 Device: IV drip/s: Sliding Scale CBG >:

CBG: Med Times: Med Nsg Considerations: Nursing Treatments:


I & O: Drain #1: Telemetry: Incisions: Colostomy: Ambulate: Feed: NG/PEG:

CBG: Med Times: Med Nsg Considerations: Nursing Treatments:

CBG: Med Times: Med Nsg Considerations: Nursing Treatments:

CBG: Med Times: Med Nsg Considerations: Nursing Treatments:

Foley: Drain #2: IV Resite: Wounds: Ileostomy: Turn: Bath: Incontent/Ot her:

I & O: Drain #1: Telemetry: Incisions: Colostomy: Ambulate: Feed: NG/PEG:

Foley: Drain #2: IV Resite: Wounds: Ileostomy: Turn: Bath: Incontent/Ot her:

I & O: Drain #1: Telemetry: Incisions: Colostomy: Ambulate: Feed: NG/PEG:

Foley: Drain #2: IV Resite: Wounds: Ileostomy: Turn: Bath: Incontent/Ot her:

I & O: Drain #1: Telemetry: Incisions: Colostomy: Ambulate: Feed: NG/PEG:

Foley: Drain #2: IV Resite: Wounds: Ileostomy: Turn: Bath: Incontent/Ot her:

Imaging Studies: Lab Studies: Comments:

Imaging Studies: Lab Studies: Comments:

Imaging Studies: Lab Studies: Comments:

Imaging Studies: Lab Studies: Comments:

Student Nurse Worksheet Student Nurse:


Room: Age: Dr. V/S: Activity: Fluid Rest.: 02 Conc: IV site: Initials: Sex: Admit Dx. Current Surg: Chronic Dx: Diet: 02 Device: IV drip/s: Sliding Scale CBG >:

Date:
Room: Age: Dr. V/S: Activity: Fluid Rest.: 02 Conc: IV site:

Rooms Assigned:
Initials: Sex: Admit Dx. Current Surg: Chronic Dx: Diet: 02 Device: IV drip/s: Sliding Scale CBG >: Room: Age: Dr. V/S: Activity: Fluid Rest.: 02 Conc: IV site: Initials: Sex: Admit Dx. Current Surg: Chronic Dx: Diet: 02 Device: IV drip/s: Sliding Scale CBG >: Room: Age: Dr. V/S: Activity: Fluid Rest.: 02 Conc: IV site: Initials: Sex: Admit Dx. Current Surg: Chronic Dx: Diet: 02 Device: IV drip/s: Sliding Scale CBG >:

CBG: Med Times: Med Nsg Considerations: Nursing Treatments:


I & O: Drain #1: Telemetry: Incisions: Colostomy: Ambulate: Feed: NG/PEG:

CBG: Med Times: Med Nsg Considerations: Nursing Treatments:

CBG: Med Times: Med Nsg Considerations: Nursing Treatments:

CBG: Med Times: Med Nsg Considerations: Nursing Treatments:

Foley: Drain #2: IV Resite: Wounds: Ileostomy: Turn: Bath: Incontent/Ot her:

I & O: Drain #1: Telemetry: Incisions: Colostomy: Ambulate: Feed: NG/PEG:

Foley: Drain #2: IV Resite: Wounds: Ileostomy: Turn: Bath: Incontent/Ot her:

I & O: Drain #1: Telemetry: Incisions: Colostomy: Ambulate: Feed: NG/PEG:

Foley: Drain #2: IV Resite: Wounds: Ileostomy: Turn: Bath: Incontent/Ot her:

I & O: Drain #1: Telemetry: Incisions: Colostomy: Ambulate: Feed: NG/PEG:

Foley: Drain #2: IV Resite: Wounds: Ileostomy: Turn: Bath: Incontent/Ot her:

Imaging Studies: Lab Studies: Comments:

Imaging Studies: Lab Studies: Comments:

Imaging Studies: Lab Studies: Comments:

Imaging Studies: Lab Studies: Comments:

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