Re: New to ICU-report sheet?
Unfortunately I can't just attach my report sheet to this post. I do have one that works very well for me in the icu. I've been using it for about 1 year now. Basically it covers the following:
pt id info/admit date
mds and consults
dx
recent history
remote history
drips
a list of almost all commonly done labs with lines to fill in for several days
system by system sections with a few prompts thrown in to make sure I hit everything in each system including incisions/ulcers/activity and whether they were bathed or not.
area for vent settings and ABGs for a few days
ett placement/size
area for swan readings: co, ci,...
area for radiology, cultures and other test results
and a handy check list section covering things like:
iv bags/tubing changed
labs drawn and sent
daily wt
wean eval
etc
I use my sheet over several days and keep adding to it. I try to write in pencil so I can update and change each day I have that pt. I'd be happy to e-mail a copy to anyone interested. It's in a wps format.
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