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Time MGMT Brain 3

The document appears to be a template for recording patient information over multiple shifts. It includes spaces to record patient demographic information, vital signs, intravenous treatments, intake/output, medications, and medical history for 3 patients over time periods from 0700 to 2400 hours. There are also sections to record laboratory test results for 3 patients.

Uploaded by

Angela Kirtley Tierney
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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62 views3 pages

Time MGMT Brain 3

The document appears to be a template for recording patient information over multiple shifts. It includes spaces to record patient demographic information, vital signs, intravenous treatments, intake/output, medications, and medical history for 3 patients over time periods from 0700 to 2400 hours. There are also sections to record laboratory test results for 3 patients.

Uploaded by

Angela Kirtley Tierney
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Date:

0700 0800 0900 1000 1100 1200 1300 1400 1500 1600 1700 1800
1900 2000 2100 2200 2300 2400 0100 0200 0300 0400 0500 0600
Client/Room #

Age Sex

Dx

Code Status

Client/Room #

Age Sex

Dx

Code Status

Client/Room #

Age Sex

Dx

Code Status
Date:
Client/Room # 0700 0800 0900 1000 1100 1200 1300 1400 1500 1600 1700 1800 1900
BP
HR
IV Access RR
Temp
IVF O2
Pain
CBG
O2 Intake
Diet Output
PRN Meds: Allergies:
Medical Hx:

Client/Room # 0700 0800 0900 1000 1100 1200 1300 1400 1500 1600 1700 1800 1900
BP
HR
IV Access RR
Temp
IVF O2
Pain
CBG
O2 Intake
Diet Output
PRN Meds: Allergies:
Medical Hx:

Client/Room # 0700 0800 0900 1000 1100 1200 1300 1400 1500 1600 1700 1800 1900
BP
HR
IV Access RR
Temp
IVF O2
Pain
CBG
O2 Intake
Diet Output
PRN Meds: Allergies:
Medical Hx:
Date:
Client/Room #: Client/Room #: Client/Room #:
Report Labs Report Labs Report Labs
WBC WBC WBC

Platelets Platelets Platelets


S S S
RBC RBC RBC

Hgb Hgb Hgb

Hct Hct Hct

B B B
Protein Protein Protein

Albumin Albumin Albumin

BUN BUN BUN

Creatinine Creatinine Creatinine

PT/INR PT/INR PT/INR

A A A
aPTT aPTT aPTT

Na+ Na+ Na+

K+ K+ K+

Other Other Lytes Other


Lytes Lytes

R R R
Other Other Other

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