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Nursing Report Sheet Template

Use this comprehensive urse report sheet to obtain more detailed patient information such as consultation details, neuro, skin, and urinary conditions as well as heart and rhythm, lung, and bowel sounds. Monitor the patient’s vital signs and other significant observations. All information is secured in cloud storage and can only be opened by those given access. Download this template free today with Lumiform.

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Nursing Report Sheet Template

Audit

General Information

Date of Birth
Sex

Consults

Select which doctors the patient consulted with
Date and Time
Attending Doctors
Date and Time
Attending Doctors
Date and Time
Attending Doctors
Date and Time
Attending Doctors
Date and Time
Attending Doctors
Date and Time
Attending Doctors
Date and Time
Attending Doctors
Date and Time
Attending Doctors
Date and Time
Attending Doctors

Patient Check Report

Diagnosis
Does the patient has allergies?
Please enter details
Patient medical history
Code status
Neuro
Condition
Skin
Heart Sounds
Heart Rhythm
Lung Sounds
Bowel Sounds
Urinary

Patient Monitoring - Vital Signs

Click + to add patient monitoring details
Time Check
Blood Pressure
Heart Rate
Temperature
Oxygen Saturation
Oxygen
Respiratory Rate
Pain
Blood Sugars
Are there dispensed medications?
Time of Med Pass

Intake

Breakfast
Lunch
Supper
Other

Output

Foley
BM
Emesis
Drains
Tubes
Ostomy Bag

Labs and Needed Procedures

Labs
Needed Labs
Future Procedures

Completion

Click + to add Nurse On Duty
Full Name and Signature of Nurse Attendee
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