Printable assesment form

  1. Hi all, I'm an LPN student looking for an assesment form that I can print out and take to clinicals with me, I've been looking but havn't been able to find one!! PLEASE HELP! Thanks in advance for your responce!
    Macair
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  2. 3 Comments

  3. by   Brownms46
    Pt's Name

    Room number

    Age

    Dr.

    Admit Date

    Surg Date

    History


    VS




    Pain Assessment




    Tele

    Neuro

    ENT

    Cardiac

    Respiratory

    GI
    Last BM

    GU


    Integumentary


    Wound/Incisions


    Muscle/Skeletal


    IV Site

    Tubing Dates

    Labs Needed

    Lab results


    Xrays


    CT

    US

    Medications Times



    Treatments


    Procedures


    New orders



    Consults

    Consents

    This is one I used to get report on. Not sure if this is what you need or not though. I find the best way to do an assessment...and not miss anything. I hope will help.. Unfortuantely I wasn't able to line it up the way I have it...but I think you get the idea. If not I will try and scan it to you...if this is something you might find useful...
    Last edit by Brownms46 on Apr 27, '02
  4. by   Brownms46
    I will try this again
    Last edit by Brownms46 on Apr 27, '02
  5. by   Brownms46
    Here goes again...trying to attach file of scanned in assessment sheet. I hope it works and is something you can use or at least help you develop one that works for you..

    Well it didn't work...but if you want I can email it to you...and maybe that would work. Just let me know..

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Printable assesment form