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  • IVtag

    Încărcat de

    mayvallerie sarmiento
    19 vizualizări1 pagină

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    IVtag.docx

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    Descărcați ca DOCX, PDF, TXT sau citiți online pe Scribd
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    19 vizualizări1 pagină

    IVtag

    Încărcat de

    mayvallerie sarmiento

    Drepturi de autor:

    © All Rights Reserved
    Descărcați ca DOCX, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    din 1

    INTRAVENOUS FLUID TAG INTRAVENOUS FLUID TAG INTRAVENOUS FLUID TAG

    Patient Name___________________ Patient Name___________________ Patient Name___________________


    Ward______Room______Date______ Ward______Room______Date______ Ward______Room______Date______

    Kind of IVF_____________________ Kind of IVF_____________________ Kind of IVF_____________________


    Add Meds_____________________ Add Meds_____________________ Add Meds_____________________
    Rate of IVF_____________________ Rate of IVF_____________________ Rate of IVF_____________________
    Duration_______________________ Duration_______________________ Duration_______________________
    Time Started____________________ Time Started____________________ Time Started____________________
    Time Ended____________________ Time Ended____________________ Time Ended____________________

    _____________________________ _____________________________ _____________________________


    Name of Staff who start the IVF Name of Staff who start the IVF Name of Staff who start the IVF
    Signature over printed name Signature over printed name Signature over printed name

    INTRAVENOUS FLUID TAG INTRAVENOUS FLUID TAG INTRAVENOUS FLUID TAG


    Patient Name___________________ Patient Name___________________ Patient Name___________________
    Ward______Room______Date______ Ward______Room______Date______ Ward______Room______Date______

    Kind of IVF_____________________ Kind of IVF_____________________ Kind of IVF_____________________


    Add Meds_____________________ Add Meds_____________________ Add Meds_____________________
    Rate of IVF_____________________ Rate of IVF_____________________ Rate of IVF_____________________
    Duration_______________________ Duration_______________________ Duration_______________________
    Time Started____________________ Time Started____________________ Time Started____________________
    Time Ended____________________ Time Ended____________________ Time Ended____________________

    _____________________________ _____________________________ _____________________________


    Name of Staff who start the IVF Name of Staff who start the IVF Name of Staff who start the IVF
    Signature over printed name Signature over printed name Signature over printed name

    INTRAVENOUS FLUID TAG INTRAVENOUS FLUID TAG INTRAVENOUS FLUID TAG


    Patient Name___________________ Patient Name___________________ Patient Name___________________
    Ward______Room______Date______ Ward______Room______Date______ Ward______Room______Date______

    Kind of IVF_____________________ Kind of IVF_____________________ Kind of IVF_____________________


    Add Meds_____________________ Add Meds_____________________ Add Meds_____________________
    Rate of IVF_____________________ Rate of IVF_____________________ Rate of IVF_____________________
    Duration_______________________ Duration_______________________ Duration_______________________
    Time Started____________________ Time Started____________________ Time Started____________________
    Time Ended____________________ Time Ended____________________ Time Ended____________________

    _____________________________ _____________________________ _____________________________


    Name of Staff who start the IVF Name of Staff who start the IVF Name of Staff who start the IVF
    Signature over printed name Signature over printed name Signature over printed name

    INTRAVENOUS FLUID TAG INTRAVENOUS FLUID TAG INTRAVENOUS FLUID TAG


    Patient Name___________________ Patient Name___________________ Patient Name___________________
    Ward______Room______Date______ Ward______Room______Date______ Ward______Room______Date______

    Kind of IVF_____________________ Kind of IVF_____________________ Kind of IVF_____________________


    Add Meds_____________________ Add Meds_____________________ Add Meds_____________________
    Rate of IVF_____________________ Rate of IVF_____________________ Rate of IVF_____________________
    Duration_______________________ Duration_______________________ Duration_______________________
    Time Started____________________ Time Started____________________ Time Started____________________
    Time Ended____________________ Time Ended____________________ Time Ended____________________

    _____________________________ _____________________________ _____________________________


    Name of Staff who start the IVF Name of Staff who start the IVF Name of Staff who start the IVF
    Signature over printed name Signature over printed name Signature over printed name

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