VS
I/O
O
Patient
Dx
S
Labs
A/P
Meds
To Do
Complaints:
Diet:
Birth Control:
Lochia < / = / >
Br / Bot HA: + / -
Vision

: + / - Edema: + / -
Abd tender: + / - SOB: + / -
Br tender: + / - Void + / -
Flatus: + / - BM: + / -
N/V: +/ - Ambulating: + / -
Circumcision: + / -
T: HR:
BP: R:
6

24

CV:
Lung:
Abd: BS + / -
Fundus:
Ext:
Incision:
Hct:
Blood type/Rh:
Rubella: Immune / Sensitive
GBS: + / -
Complaints:
Diet:
Birth Control:
Lochia < / = / >
Br / Bot HA: + / -
Vision

: + / - Edema: + / -
Abd tender: + / - SOB: + / -
Br tender: + / - Void + / -
Flatus: + / - BM: + / -
N/V: +/ - Ambulating: + / -
Circumcision: + / -
T: HR:
BP: R
6

24

CV:
Lung:
Abd: BS + / -
Fundus:
Ext:
Incision:
Hct:
Blood type/Rh:
Rubella: Immune / Sensitive
GBS: + / -
Complaints:
Diet:
Birth Control:
Lochia < / = / >
Br / Bot HA: + / -
Vision

: + / - Edema: + / -
Abd tender: + / - SOB: + / -
Br tender: + / - Void + / -
Flatus: + / - BM: + / -
N/V: +/ - Ambulating: + / -
Circumcision: + / -
T: HR:
BP: R
6

24

CV:
Lung:
Abd: BS + / -
Fundus:
Ext:
Incision:
Hct:
Blood type/Rh:
Rubella: Immune / Sensitive
GBS: + / -
Complaints:
Diet:
Birth Control:
Lochia < / = / >
Br / Bot HA: + / -
Vision

: + / - Edema: + / -
Abd tender: + / - SOB: + / -
Br tender: + / - Void + / -
Flatus: + / - BM: + / -
N/V: +/ - Ambulating: + / -
Circumcision: + / -
T: HR:
BP: R
6

24

CV:
Lung:
Abd: BS + / -
Fundus:
Ext:
Incision:
Hct:
Blood type/Rh:
Rubella: Immune / Sensitive
GBS: + / -
Complaints:
Diet:
Birth Control:
Lochia < / = / >
Br / Bot HA: + / -
Vision

: + / - Edema: + / -
Abd tender: + / - SOB: + / -
Br tender: + / - Void + / -
Flatus: + / - BM: + / -
N/V: +/ - Ambulating: + / -
Circumcision: + / -
T: HR:
BP: R
6

24

CV:
Lung:
Abd: BS + / -
Fundus:
Ext:
Incision:
Hct:
Blood type/Rh:
Rubella: Immune / Sensitive
GBS: + / -
Complaints:
Diet:
Birth Control:
Lochia < / = / >
Br / Bot HA: + / -
Vision

: + / - Edema: + / -
Abd tender: + / - SOB: + / -
Br tender: + / - Void + / -
Flatus: + / - BM: + / -
N/V: +/ - Ambulating: + / -
Circumcision: + / -
T: HR:
BP: R
6

24

CV:
Lung:
Abd: BS + / -
Fundus:
Ext:
Incision:
Hct:
Blood type/Rh:
Rubella: Immune / Sensitive
GBS: + / -