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Patient Vital Signs Log Template

This document appears to be a blank intake form used to record a patient's vital signs, intake and output measurements over time. It includes fields to log blood pressure, heart rate, respiration rate, temperature, oxygen levels, intravenous and oral intake, abdominal sounds, urine output, bowel movements and vomiting. The form does not contain any patient or date information.

Uploaded by

Princess Jeanne Roque Gairanod
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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66 views2 pages

Patient Vital Signs Log Template

This document appears to be a blank intake form used to record a patient's vital signs, intake and output measurements over time. It includes fields to log blood pressure, heart rate, respiration rate, temperature, oxygen levels, intravenous and oral intake, abdominal sounds, urine output, bowel movements and vomiting. The form does not contain any patient or date information.

Uploaded by

Princess Jeanne Roque Gairanod
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Patient: Date:

Bed/Room:

Input Output
Time BP HR RR T O2
IV PO AB UO BM Vomitus

Patient: Date:
Bed/Room:
Input Output
Time BP HR RR T O2
IV PO AB UO BM Vomitus

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