Nurse Brain Sheet Telemetry Unit SBAR
Nurse Brain Sheet Telemetry Unit SBAR
Nurse Brain Sheet Telemetry Unit SBAR
PatientnameAge
allergies
RoomnumberAdmitdate
Attending
Codestatus
1Dx2Dx
Advanceddirectiveon
chart?
C/O
B
A
Physician
Consultants
Pgr/#
History
IsolationCoreMeasures
Surgery:Surgeon
RestraintsCHFMIPNA
AnesthesiaAnesthesiologistEBL
FallriskVaccinePNAFlu
Cardiac:BP/HR/Peripheralpulses/Edema/Heartsounds
Pain/sedation
Currentrhythm
Painscale
Dailywt?
Location
Medstypeandlastdose
DVTprophylaxis
Pulmonary:Breathsounds/Secretions/SpO2/UPAs/PIP/
SpontaneousVT&VE
Vent/bipapetc
AccuchecksA1C
settings
Frequency
LastResults
GING/OGT
Skin
Wounds/Drainage
BSLastBM
DietGIProphylaxis
GUFoley/void
Staples
Drains
Location
Output
Ducubphotoonadmission
IVDateinserted
PsychSocial
FluidsGtts
Meds
Pendingorders
Na
Cl
Bun
gluc
mg
BNP
Co
Cr
Ca
Phos
DDimer
Coags
Hct UA
CT
INR
WPl
CXR
PTT
Nextlab
Hgb
Cardiacenz
DCPlan.Isptinformedofplan___24hourordersreviewed____
123
Cultures
MRI
Echo
Shiftgoals