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Nursing Clinical Prep Sheet

This document contains a checklist for assessing and charting a patient's room number, allergies, precautions, code status, vital signs including temperature, pulse, respiration, blood pressure, and oxygen status. It also includes spaces to check off assessments of neurological, cardiovascular, gastrointestinal, genitourinary, skin, and IV/drains systems as well as labs including complete blood count and chemistry. There is a section for noting new orders.

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Patty Pasarilla Passehl
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© Attribution Non-Commercial (BY-NC)
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2K views1 page

Nursing Clinical Prep Sheet

This document contains a checklist for assessing and charting a patient's room number, allergies, precautions, code status, vital signs including temperature, pulse, respiration, blood pressure, and oxygen status. It also includes spaces to check off assessments of neurological, cardiovascular, gastrointestinal, genitourinary, skin, and IV/drains systems as well as labs including complete blood count and chemistry. There is a section for noting new orders.

Uploaded by

Patty Pasarilla Passehl
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 PDF, TXT or read online on Scribd
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PT Room # Allergies: Chart Precautions: Code: Check off when charted Asses sment Plan of care Interventi ons

Assessment:
Neruo: Vitals Cardio: Temp Pulse Resp: Resp BP O2 stat GI: Pain Glucose GU: Check off when charted Meds:

Skin:

IV/Drains:

Hgb

WBC Hct

PLT

Na K+

Cl Ca

BUN glucose Cr

New orders:

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