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