Intake/Output Record

[heaverboo]

My floor is trying to come up with a sheet with keeping track of I&O's/vital signs/blood sugars etc. Any suggestions or links to ones you've made of your own?

[JEETERE]

patient 1

patient 2

patient 3

patient 4

rm#

rm#

rm#

rm#

name

name

name

name

problem list

problem list

problem list

problem list

allergies

allergies

allergies

allergies

code status

code status

code status

code status

pressure area care

mobility

pressure area care

mobility

pressure area care

mobility

pressure area care

mobility

pain control/

medications

pain control/

medications

pain control/

medications

pain control/

medications

diet

appetite

br. lch. snack dinner

diet

appetite

br. lch. snack dinner

diet

appetite

br. lch. snack dinner

diet

appetite

br. lch. snack dinner

mental status

mental status

mental status

mental status

vital signs

t p r b/p :time

vital signs

t p r b/p :time

vital signs

t p r b/p :time

vital signs

t p r b/p :time

i/o :

i/o :

i/o :

i/o :

skin integrity

skin integrity

skin integrity

skin integrity

accu-check result time action

accu-check result time action

accu-check result time action

accu-check result time action

activity

activity

activity

activity

adl's

adl's

adl's

adl's

fall precautions

other precautions

restraints

fall precautions

other precautions

restraints

fall precautions

other precautions

restraints

fall precautions

other precautions

restraints

to do/other:

to do/other:

to do/other:

to do/other:

[JEETERE]

PM me and I will give you my email and send the text doc. Not sure how to upload it here.