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Explore our collection of 38 free preventive maintenance checklists

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Your guide to performing and documenting efficient child care observation

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Lumiform as customer journey mapping tool in gastronomy

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Nursing Report Sheet Template

Nursing Report Sheet Template

This is a nursing report sheet template. Use online with Lumiform’s free digital app, download as a pdf, or print out the report for a hard copy.

Use this template
or download pdf
Nursing Report Sheet Template

This is a nursing report sheet template. Use online with Lumiform’s free digital app, download as a pdf, or print out the report for a hard copy.

Use this template
or download pdf

About the Nursing Report Sheet Template

Use this comprehensive nurse 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.

Related categories

  • Quality management templates
  • Health care templates
  • Quality assurance templates
Preview of the 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
This template was downloaded 23 times

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This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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