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Student Nurse: - Date

This document contains forms for recording vital signs, input/output, endorsements, and medications for patients. The vital sign and input/output sheet tracks a patient's temperature, blood pressure, pulse, respirations, oxygen saturation, intake and output amounts orally, intravenously, through a feeding tube or other methods. The endorsement sheet records a patient's name, age, sex, diagnosis, intravenous fluids, diet, and contraptions. The medication sheet tracks the patient's name, medications administered intravenously or orally and the times given.

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Clarissa Guifaya
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54 views3 pages

Student Nurse: - Date

This document contains forms for recording vital signs, input/output, endorsements, and medications for patients. The vital sign and input/output sheet tracks a patient's temperature, blood pressure, pulse, respirations, oxygen saturation, intake and output amounts orally, intravenously, through a feeding tube or other methods. The endorsement sheet records a patient's name, age, sex, diagnosis, intravenous fluids, diet, and contraptions. The medication sheet tracks the patient's name, medications administered intravenously or orally and the times given.

Uploaded by

Clarissa Guifaya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Far Eastern University

Institute of Nursing

VITAL SIGN AND INPUT AND OUTPUT SHEET


Student Nurse: _____________________________________________________ Date: _________________
Patient’s Name/ Bed Number/ T BP P T RR O2 INPUT OUTPUT
Room Number SAT ORAL IV NGT OTHERS U S D OTHERS
7
8
9
10
11
12
1
2
3
4
TOTAL
7
8
9
10
11
12
1
2
3
4
TOTAL
7
8
9
10
11
12
1
2
3
4
TOTAL
Far Eastern University
Institute of Nursing

ENDORSEMENT SHEET
Student Nurse: _____________________________________________________ Date: _________________

Patient’s Name /Bed and Age Sex Diagnosis IVF Diet Contraption Remarks
Room Number
Far Eastern University
Institute of Nursing

MEDICATION SHEET
Student Nurse: _____________________________________________________

Patient’s Name /Bed and Room Number MEDICATION


TIV Time Oral Time

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