TODAY’S DATE
Room Pt MD MR# All: Dx. Age Access:
SHIFT
Act Tele Vd/Foley Other I&O Diet Kardex
UNIT
K Mg Phos Bun Cr Trop K Mg Phos Bun Cr Trop
Terri’s Worksheet
Meds
T P R BP L Sats RA Age Access:
T P R BP L Sats RA
BM
Gu
IV/Drips Follow-Up Prn Act Tele Vd/Foley Other I&O Diet Kardex K Mg Phos Bun Cr Trop K Mg Phos Bun Cr Trop Meds
Hx. Room Pt MD MR# All: Dx.
T P R BP L Sats RA Age Access:
T P R BP L Sats RA
BM
Gu
IV/Drips Follow-Up Prn Act Tele Vd/Foley Other I&O Diet Kardex K Mg Phos Bun Cr Trop K Mg Phos Bun Cr Trop Meds
Hx. Room Pt MD MR# All: Dx.
T P R BP L Sats RA Age Access:
T P R BP L Sats RA
BM
Gu
IV/Drips Follow-Up Prn Act Tele Vd/Foley Other I&O Diet Kardex K Mg Phos Bun Cr Trop K Mg Phos Bun Cr Trop Meds
Hx. Room Pt MD MR# All: Dx.
T P R BP L Sats RA
T P R BP L Sats RA
BM
Gu
IV/Drips Follow-Up Prn
Hx.
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