Physical assessment RM # Area critical \ ER ----- bed# -------- Admission day Unit : Wt : sex: M\F : Triage level in ER dep. : Height: Age: BMI: DX: ISOLATION: Allergies: Lines : CVP: V/S 0800 0900 1000 1100 1200 art lines PA caths PA pressure : T IV Site: HR PICC: CVC: BP note: location, the condition of them, and when the dressings were last changed SPO2 Orders to flush central/hep FSBS NEURO: Cardio: O2 RA …… NC ……L Mental : Heart sound: Lung Sounds Speech: Cough PUPILS: R___ Tele (ECG) : TRACH L ___ suction Ventilation mood setting Edema ----- Location of edema :
Physical assessment RM # Area critical \ ER ----- bed# -------- sex: M\F Age: Admission day : Unit : Triage level in ER dep. : Wt : Height: BMI: DX: ISOLATION: Allergies: Lines : art lines PA caths IV Site: PICC: CVC: note: location, the condition of them, and when the dressings were last changed Orders to flush central/hep CVP: PA pressure : V/S 0800 0900 1000 1100 1200 T HR BP SPO2 FSBS NEURO: Mental : Speech: PUPILS: R___ L ___ Cardio: Heart sound: Tele (ECG) : Edema ----- Location of edema : O2 RA …… NC ……L Lung Sounds Cough TRACH suction Ventilation mood setting
weekly_report_nur_422_0.docx