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  • Standing Order

    Încărcat de

    Nicholas Tagle
    6 vizualizări10 pagini
    k;lkl;

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    standing order

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    © All Rights Reserved
    Descărcați ca DOCX, PDF, TXT sau citiți online pe Scribd
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    6 vizualizări10 pagini

    Standing Order

    Încărcat de

    Nicholas Tagle
    k;lkl;

    Drepturi de autor:

    © All Rights Reserved
    Descărcați ca DOCX, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    din 10

    STAFF NURSE________________ PATIENT’S NAME________________ BED#________________

    MEDICATIONS
    1._______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    2. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    3. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    4. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    5. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    6. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    7. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    FLUIDS
    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________
    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________


    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION FLOW RATE SIDE DRIP FLOW RATE FLUIDS ADDED


    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM
    _____________________________________________________________________________________
    SOLUTION FLOW RATE SIDE DRIP FLOW RATE FLUIDS ADDED
    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM
    Staff Nurse________________ PATIENT’S NAME________________ BED#________________
    MEDICATIONS
    1._______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    2. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    3. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    4. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    5. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    6. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    7. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    FLUIDS
    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________
    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________


    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION FLOW RATE SIDE DRIP FLOW RATE


    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM
    _____________________________________________________________________________________
    SOLUTION FLOW RATE SIDE DRIP FLOW RATE
    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM
    Staff Nurse________________ PATIENT’S NAME________________ BED#________________
    MEDICATIONS
    1._______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    2. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    3. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    4. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    5. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    6. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    7. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    FLUIDS
    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________
    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________


    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION FLOW RATE SIDE DRIP FLOW RATE


    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM
    _____________________________________________________________________________________
    SOLUTION FLOW RATE SIDE DRIP FLOW RATE
    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM
    Staff Nurse________________ PATIENT’S NAME________________ BED#________________
    MEDICATIONS
    1._______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    2. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    3. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    4. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    5. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    6. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    7. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    FLUIDS
    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________
    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________


    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION FLOW RATE SIDE DRIP FLOW RATE


    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM
    _____________________________________________________________________________________
    SOLUTION FLOW RATE SIDE DRIP FLOW RATE
    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM
    Staff Nurse________________ PATIENT’S NAME________________ BED#________________
    MEDICATIONS
    1._______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    2. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    3. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    4. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    5. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    6. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    7. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    FLUIDS
    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________
    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________


    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION FLOW RATE SIDE DRIP FLOW RATE


    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM
    _____________________________________________________________________________________
    SOLUTION FLOW RATE SIDE DRIP FLOW RATE
    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM
    Staff Nurse________________ PATIENT’S NAME________________ BED#________________
    MEDICATIONS
    1._______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    2. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    3. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    4. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    5. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    6. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    7. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    FLUIDS
    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________
    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________


    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION FLOW RATE SIDE DRIP FLOW RATE


    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM
    _____________________________________________________________________________________
    SOLUTION FLOW RATE SIDE DRIP FLOW RATE
    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM
    Staff Nurse________________ PATIENT’S NAME________________ BED#________________
    MEDICATIONS
    1._______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    2. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    3. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    4. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    5. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    6. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    7. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    FLUIDS
    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________
    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________


    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION FLOW RATE SIDE DRIP FLOW RATE


    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM
    _____________________________________________________________________________________
    SOLUTION FLOW RATE SIDE DRIP FLOW RATE
    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM
    Staff Nurse________________ PATIENT’S NAME________________ BED#________________
    MEDICATIONS
    1._______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    2. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    3. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    4. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    5. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    6. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    7. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    FLUIDS
    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________
    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________


    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION FLOW RATE SIDE DRIP FLOW RATE


    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM
    _____________________________________________________________________________________
    SOLUTION FLOW RATE SIDE DRIP FLOW RATE
    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM
    Staff Nurse________________ PATIENT’S NAME________________ BED#________________
    MEDICATIONS
    1._______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    2. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    3. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    4. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    5. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    6. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    7. ______________________
    (____)Prepared, Given, Charted) (____)Prepared, Given, Charted) (____)Prepared, Given, Charted)
    FLUIDS
    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________
    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION____________RATE_________BOTTLE#_____IV LEVEL_____INFUSION SITE___________________


    SIDE DRIP____________ RATE_________FLUIDS ADDED_________

    SOLUTION FLOW RATE SIDE DRIP FLOW RATE


    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM
    _____________________________________________________________________________________
    SOLUTION FLOW RATE SIDE DRIP FLOW RATE
    TIME FLUID LEVEL TIME FLUID LEVEL
    7AM 7AM
    8AM 8AM
    9AM 9AM
    10AM 10AM
    11AM 11AM
    12PM 12PM
    1PM 1PM
    2PM 2PM

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