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Practice Sheets
Adult Health Nursing I (NURS 304)
Roseman University of Health Sciences
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©2016 TazKai LLC | NRSNG
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PATIENTS SIMPLE BRAINSHEET
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Name: IV:
Tele:
Admin
DX:
Fluids:
BS:
Dr: Diet:
HX: O2:
Neuro:
Mobi:
GU:
Pain:
GI:
Skin:
Iso
CX
Res Res
C L D W
CP
E
T
T
T
Name: IV:
Tele:
Admin
DX:
Fluids:
BS:
Dr: Diet:
HX: O2:
Neuro:
Mobi:
GU:
Pain:
GI:
Skin:
Iso
CX
Res Res
C L D W
CP
E
T
T
T
©2016 TazKai LLC | NRSNG
More FREE nursing school aids at NRSNG
Stay Organized on the Floor with the Nursing Brain Sheet Pack from NRSNG. Visit NursingBrainSheets to get 35 Nursing Brain Sheets
Tests
IV
Tele Foley
FS
O
Last Pain Med
Meds
BM Pain Med
PATIENT ID LABEL
Last FS
Tests
IV
Tele Foley
FS
O
Last Pain Med
Meds
BM Pain Med
PATIENT ID LABEL
Last FS
Tests
IV
Tele Foley
FS
O
Last Pain Med
Meds
BM Pain Med
PATIENT ID LABEL
Last FS
Tests
IV
Tele Foley
FS
O
Last Pain Med
Meds
BM Pain Med
PATIENT ID LABEL
Last FS
PATIENTS SIMPLE BRAINSHEET
©2016 TazKai LLC | NRSNG
More FREE nursing school aids at NRSNG
Stay Organized on the Floor with the Nursing Brain Sheet Pack from NRSNG. Visit NursingBrainSheets to get 35 Nursing Brain Sheets
ICU DETAILED BRAINSHEET
Rm: Name: Resp: GI: Orders: RBC:
Hgb:
Hct:
POD: Age:
####### Weight:
####### Height:
####### RR:
####### Pulse:
####### O2:
####### Sputum:
####### BM:
####### NG/OG/PEG:
####### TF/DIET:
WBC:
-
Plt:
HX: Admit: Cardiac: Skin/Circ: BUN:
Creat:
GFR:
BNP:
M's:
####### SCD'S:
####### TEDS:
Intervention: NA:
K:
Cl:
####### HR:
####### BP:
####### Tele:
GU: CO 2 :
ALB:
ALT:
DX: Neuro: AST:
BILI:
Ca:
####### Temp:
Urine:
Foley:
Voids:
Inc/Drsg: I. Ca:
PROT:
Allergies: Chems q.: 7- 11- 16- Braces: TROP:
CK-MB:
Lines/gtts: Meds: Pain: Mg:
Phos:
DIG:
CT: PT:
INR:
PTT:
CVL:
-
-
Art Line:
CXR: UA:
COLOR:
CLAR:
GLUC:
KEY:
Ppeak: Pmean: PEEP: I:E SPGR:
BLOOD:
PH:
PROT:
FTOT: VTE: VETOT: ET SIZE:
####### *
####### -
####### LENGTH
####### : -
####### @ LIPS:
LIPID:
CHOL:
HDL:
LDL:
TRIG:
ICU BRAINSHEET
©2016 TazKai LLC | NRSNG
More FREE nursing school aids at NRSNG
Stay Organized on the Floor with the Nursing Brain Sheet Pack from NRSNG. Visit NursingBrainSheets to get 35 Nursing Brain Sheets
Room: DATE:
Patient Age Sex Admitted: HD: LOS:
Diagnosis: Procedure
Comorbid Conditions\Hx: Code Status: Allergies
SIGNIFICAT HOSPITAL HISTORY BODY SYSTEMS
####### Neuro:
####### Orientation:
####### Psych/Soc Pupils:
####### Extremity Strength Temp:
####### Activity Weight:
####### Fall Precaution: Restraints
####### Neuro: PLAN: VARIANCE
####### CV:
Rhythm: HR: BP: “A” Line Swan Ganz: PA PAWP CVP: CO Pacer Wires: K+: CPK: CBC: Hct: PT Mg+: MB’s: Trop: HGB PTT Ca: Edema (small= +1 moderate=+2 Pitting= +3) Pulses (R) (L) (absent=0 weak=1 strong=2) PICC/Central line/ IJ: Hep Lock:
####### DRIPS: cc/hr
Cardiovascular: PLAN: VARIANCE
PUL: Extub: RR: O 2
BS: Mask: Coughing Sputum Tri ow Chest Tubes: Bipap: ABG: Mode: Cu Pressure FiO 2 TV rate
Respiratory PLAN: VARIANCE
GI Abd Contour BS Flatus: NG pH: Diet: BM Feeding Appetite: Chemstrip: GI: PLAN: VARIANCE GU Foley: Cath Care: SG PD Urine Output: Hemo GU: PLAN: VARIANCE I&O’s Skin/dressing/incisions: Braden Scale: Specimens: Test, Labs Procedures, hx, preps Other: Other: Discharge Plan: Variance to Discharge Plan: Barrier Resolution: Consults: Teaching/learning: Consults: Special Needs:
Ca
Mg
PTT
PT
CPK
CKMB
CKMB%
TROP
ICU BOX BRAINSHEET
©2016 TazKai LLC | NRSNG
More FREE nursing school aids at NRSNG
Stay Organized on the Floor with the Nursing Brain Sheet Pack from NRSNG. Visit NursingBrainSheets to get 35 Nursing Brain Sheets
NAME
DOB
Rm#
Admit Date
Wt: CODE: PMD:
Consults:
1900
_____________________
2000
_____________________
2100
_____________________
2200
_____________________
2300
_____________________
0000
_____________________
0100
_____________________
0200
_____________________
0300
_____________________
0400
_____________________
0500
_____________________
0600
_____________________
0700
ISO:
ALLERGIES
Diagnosis Medical Hx Procedure/Surgery
POD#
Diet BP LABS
P
IV RR
T
SpO
2
NEURO RESP O2: Tx:
Vent Settings:
CARDIAC Tele/Rhythm
Pacemaker
SKIN GI/GU MUSC Activity
Orders/Plan:
Practice Sheets
Course: Adult Health Nursing I (NURS 304)
University: Roseman University of Health Sciences
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