Nurse’s Notes:
Catanduanes State University
COLLEGE OF HEALTH SCIENCES
NURSING DEPARTMENT
Virac, Catanduanes
Date/Time
Focus
Data, Action, Response (DAR)
STUDENT’S KARDEX
Date/Shift: ________________________
Area of Assignment: _________________
Patient’s Name: _______________________ Age: _____Gender: ____
Room No.: _____ Attending Physician: _________________________
Chief Complaint: ___________________________________________
Medical Diagnosis: _________________________________________
IV Fluids/Rate/Site:
Pending Laboratory/Diagnostics:
Diet Order:
Due Procedure:
Vital Signs:
Time
BP
Temperature
PR
RR
O2 Sat
Intake
IVIV MedsOral/ NGTTotal:
Frequency
Name of Medications
Time
Output
UrineStoolVomitusTotal:
Time
Time
Special Endorsement:
PAMELA MAE R. BAYOS, RN
Signature over Printed Name of CI
SJTM
Signature Over Printed Name of NOD