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Icu Sheet

The document contains a template for monitoring and recording patient information over time, including vital signs, intake and output, notes on room, allergies, medical history, protocols, symptoms, medications, and tasks to complete. Sections are devoted to neurological, cardiac, pulmonary, gastrointestinal, genitourinary, endocrine, skin, and orthopedic systems. Labs, imaging, and electrolyte protocols are also included.

Uploaded by

Jan Marcus
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© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
2K views

Icu Sheet

The document contains a template for monitoring and recording patient information over time, including vital signs, intake and output, notes on room, allergies, medical history, protocols, symptoms, medications, and tasks to complete. Sections are devoted to neurological, cardiac, pulmonary, gastrointestinal, genitourinary, endocrine, skin, and orthopedic systems. Labs, imaging, and electrolyte protocols are also included.

Uploaded by

Jan Marcus
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Room

Code

Allergies

Isolation

Restraints

MD

Diagnosis / Current History

Past Medical History

Protocols

C/O:

Prophylaxis
GI
DVT

IV Access / Drips

PRN Meds

Neuro

Cardiac

Pulmo

GI

GU

Endo

Skin

Ortho

Family / Issues

Labs / Electrolyte Protocol

Imaging

Notes / To Do

TIM
E

R
R

HR

BP
(map

Sa
O2

ABP

PO

TF

UO

)
7
(
)

(
)

8
T=

(
)

(
)

(
)

(
)

(
)

(
)

(
)

(
)

(
)

(
)

(
)

(
)

(
)

(
)

(
)

(
)

(
)

(
)

(
)

(
)

R=

10

11

12
T=

R=

4
T=
5

6
(
)
TOTAL
Intake
Weight

Notes:

(
)
Output

R=

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