
Brain Sheet Organizer
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The purpose of this "brain sheet" is to provide a concise, structured way to quickly record and reference critical patient data, aiding in efficient patient care and handoffs.
The sheet includes sections for:
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Patient demographics: Name, Room, Age, Admission Date, Admitted From, Expected Discharge Date/Location.
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Medical Status: Allergy, Code Status, POLST, Past Medical History.
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Patient assessment: Pain, Activity, Mobility, Transferring, Chewing, Contacts, Hearing Aids, Dentures, Last Wound (location, size).
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Vitals: Last Set (Time, Temp, HR, RR, BP, SpO2, Pain) and Current.
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Intake & Output: Intake, Output.
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Labs: A blank section for lab results.
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Medications: Time, Rx, MOA, Side Effects, Nursing Considerations.
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