Professional Documents
Culture Documents
Before
Drain- SQN = See Q notes
Color
Clear
After
Yes
SATS
No
37-45 = 3 age SA = O2 sats
45-52 = 3 SK = Skin color pail or blue
Time Time Total 52-60 = 4 T = Tired/Sleepy TP = Tolerated poorly
Date In Out Min 60-67 = 4 IS = Insufficient supplies Initials
*Attach separate Progress Notes page if more space is needed to describe any changes, events, or concerns.
By signing below, I certify that I have been trained by the school nurse to observe, monitor, and provide health- By signing below, I certify that the person to the left was trained to observe, monitor, and provide health-related
related interventions for this student. interventions for this student.
Printed Name Auth. Title Signature Initials Date Printed Name Auth. Title Signature Initials Date
Registered
RN, LVN Credentialed
School Nurse