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[IV Access]

HR:
Sats:

Abd:

HR:
Sats:

Abd:

HR:
Sats:

Abd:

HR:
Sats:

Abd:

HR:
Sats:

Abd:

HR:
Sats:

Abd:

HR:
Sats:

DOBUtrex:
FENTanyl:
VERsed:

[CBC]

[BILI]

[BMP]

[ALKP]

[RETIC]

[Feeding]
[NPO]

[Radiology]

[Morning Labs]
[GLU]

[Drips]
DOPAmine:

[ABG]

[CBG]

[LFT]
[CXR]

[KUB]

NICU Brain Sheet - T.Woods, RN

[PO]

[Void]

[Weight]

[ECHO]

[Output]

[Critical Labs]:
[Glucometer]:

[OGT]

[EATS
]:

Abd:

[FED]
:

HR:
Sats:

2nd Port:

[FED]
:

Abd:

Lipids:

[FED]
:

Abd:

HR:
Sats:

TPN:

[FED]
:

HR:
Sats:

7:00

Abd:

PS:

[Fluids]

8:00

HR:
Sats:

1:00 12:00 11:00 10:00 9:00

Abd:

CPAP/Sypap:

2:00

7:00
8:00
1:00 12:00 11:00 10:00 9:00
2:00
3:00
4:00
5:00
6:00

B/P:
Temp:
RR:
Diaper:
B/P:
Temp:
RR:
Diaper:
B/P:
Temp:
RR:
Diaper:
B/P:
Temp:
RR:
Diaper:
B/P:
Temp:
RR:
Diaper:
B/P:
Temp:
RR:
Diaper:
B/P:
Temp:
RR:
Diaper:
B/P:
Temp:
RR:
Diaper:
B/P:
Temp:
RR:
Diaper:
B/P:
Temp:
RR:
Diaper:
B/P:
Temp:
RR:
Diaper:
B/P:
Temp:
RR:
Diaper:

I-Time:

HFNC:
SATs:
iNo:

3:00

Abd:

SITE:
HR:
Sats:

[NEW WEIGHT]:

Rate:

4:00

[GIRTH]:

[SL]

5:00

[PIV]

[Respiratory Settings]
ETT Size:
[PICC]
PIP/Peep:
O2 %:

6:00

[Weight]
[OLD WEIGHT]:

Patient Label

[Stool]

10/27/2015