Date: _______________________
Shift: _______________________
Area: _______________________
VITAL SIGNS SHEET
8AM 12NN
ROOM/ NAME OF Intake Output Student Assigned
BED PATIENT TEMP BP PR RR O2 TEMP BP PR RR O2
NO. SAT SAT
Date: _______________________
Shift: _______________________
Area: _______________________
VITAL SIGNS SHEET
8AM 12NN
ROOM/ NAME OF Intake Output Student Assigned
BED PATIENT TEMP BP PR RR O2 TEMP BP PR RR O2
NO. SAT SAT
Date: _______________________
Shift: _______________________
Area: _______________________
VITAL SIGNS SHEET
4PM 8PM
ROOM/ NAME OF Intake Output Student Assigned
BED PATIENT TEMP BP PR RR O2 TEMP BP PR RR O2
NO. SAT SAT
Date: _______________________
Shift: _______________________
Area: _______________________
VITAL SIGNS SHEET
4PM 8PM
ROOM/ NAME OF Intake Output Student Assigned
BED PATIENT TEMP BP PR RR O2 TEMP BP PR RR O2
NO. SAT SAT
Date: _______________________
Shift: _______________________
Area: _______________________
KARDEX
Room/Bed No.: Student Assigned: Name of Patient:
Diagnosis:
Age: Sex: Religion: Chief Complaint: Diet:
IV Fluid: Standing Order: Others:
Contraptions: Monitoring:
PRN/STAT Medications: