Adult Vital Signs Record
Year:
Month:
Day:
Time:
Respiratory
Rate ●
-3530
-2520
-1510
-5-
-3530
-2520
-1510
-5-
SpO₂ % ●
If less than 90%
Sats on 8-10L or
50% FiO2 = Call
Response Team
-10095
-9085
-80-
-10095
-9085
-80-
RA or O₂ LPM:
Blood
Pressure
˅
˄
Positions
L = Lying
Sit = Sit
Std = Standing
-220210
-200190
-180170
-160150
-140130
-120110
-10090
-8070
-6050
-40-
-220210
-200190
-180170
-160150
-140130
-120110
-10090
-8070
-6050
-40-
Position
Heart
Rate ●
Locations
A = Apical
R = Radial
-180170
-160150
-140130
-120110
-10090
-8070
-6050
-40-
Location
Temperature
BM – Bowel Movement
Initials
-180170
-160150
-140130
-120110
-10090
-8070
-6050
-40-