Kardex Notes

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KARDEX NOTES

Room #______ Diet _______ Goals of Care____________


Physician________ D/C Plan______ Days Post op _____
OR@/Retd@____________ Procedure________________
VS- HR_____BP_______RR_______ O2 Sat ______________
Analgesia: PCA/Epi_______ Analg x______ Med ______
Foley/Void: Amount ________________________________
Drsg_______ Location__________ Next _______________
Drains: Type_____________ Amount____________
Type_____________ Amount____________
Type_____________ Amount____________
Type _____________ Amount____________
IIV: Site__________ Location________ Running_________
C/S fqn____________________ Results___________________
Abnormal test results _______________________________
_________________________________________________________
Dx tests today @ ___________________________________
Other ________________________________________________

KARDEX NOTES
Room #______ Diet _______ Goals of Care____________
Physician________ D/C Plan______ Days Post op _____
OR@/Retd@____________ Procedure________________
VS- HR_____BP_______RR_______ O2 Sat ______________
Analgesia: PCA/Epi_______ Analg x______ Med ______
Foley/Void: Amount ________________________________
Drsg_______ Location__________ Next _______________
Drains: Type_____________ Amount____________
Type_____________ Amount____________
Type_____________ Amount____________
Type _____________ Amount____________
IIV: Site__________ Location________ Running_________
C/S fqn____________________ Results___________________
Abnormal test results _______________________________
_________________________________________________________
Dx tests today @ ____________________________________
Other _________________________________________________

KARDEX NOTES
Room #______ Diet _________ Goals of Care__________
Physician________ D/C Plan______ Days Post op _____
OR@/Retd@____________ Procedure________________
VS- HR_____BP_______RR_______ O2 Sat ______________
Analgesia: PCA/Epi_______ Analg x______ Med ______
Foley/Void: Amount ________________________________
Drsg_______ Location__________ Next _______________
Drains: Type_____________ Amount____________
Type_____________ Amount____________
Type_____________ Amount____________
Type _____________ Amount____________
IIV: Site__________ Location________ Running_________
C/S fqn____________________ Results__________________
Abnormal test results ______________________________
_________________________________________________________
Dx tests today @ __________________________________
Other _______________________________________________

KARDEX NOTES
Room #______ Diet _________ Goals of Care__________
Physician________ D/C Plan______ Days Post op _____
OR@/Retd@____________ Procedure________________
VS- HR_____BP_______RR_______ O2 Sat ______________
Analgesia: PCA/Epi_______ Analg x______ Med ______
Foley/Void: Amount ________________________________
Drsg_______ Location__________ Next _______________
Drains: Type_____________ Amount____________
Type_____________ Amount____________
Type_____________ Amount____________
Type _____________ Amount____________
IIV: Site__________ Location________ Running_________
C/S fqn____________________ Results___________________
Abnormal test results _______________________________
_________________________________________________________
Dx tests today @ ____________________________________
Other _________________________________________________

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