Nurse brain sheet_telemetry_unit_sbar

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Nurse brain sheet_telemetry_unit_sbar

  1. 1. NURSE BRAIN SHEET – TELEMETRY UNIT SBAR Patient
name













































































Age
 allergies
 Physician
S
 Room
number






























































Admit
date
 Attending
 Code
status

 1
Dx











































































2
Dx
 Consultants
 Advanced
directive
on
 C/O
 chart?
 Pgr/#
 History
 Isolation







Core
Measures
B
 Surgery:




























Surgeon








































 Restraints





CHF

MI

PNA
 Anesthesia

























Anesthesiologist


































EBL
 Fall
risk




Vaccine‐
PNA

Flu
 Cardiac:

BP/HR/Peripheral
pulses/Edema/Heart
sounds
 Pain/sedation
A
 Current
rhythm
 Pain
scale
 Daily
wt?
 Location
 Meds
type
and
last
dose
 DVT
prophylaxis
 Pulmonary:

Breath
sounds/Secretions/
SpO2/UPAs/PIP/
 Vent/bipap
etc
 Accu
checks





















A1C
 Spontaneous
VT
&
VE
 settings
 Frequency
 Last
Results
 GI




































NG/OGT
 
 Skin












































































 Wounds/Drainage
 BS






































Last
BM
 Diet



































GI
Prophylaxis
 Staples










































































 Drains
 GU


Foley/void
 Location
 Output
 Ducub
photo
on
admission
 IV





























































Date
inserted
 Psych
Social
 Fluids





















































Gtts


































































 Meds
 Pending
orders
 Na
 Cl
 Bun
 gluc
 mg
 BNP
 Coags
 




Hct














 UA
 CT
 INR
 W













Pl




 CXR
 K
 Co
 Cr
 Ca
 Phos
 DDimer
 Cultures

 PTT
 



 MRI

 Cardiac
enz
 1



















2

















3
 Next
lab
 





Hgb
 Echo

 DC
Plan.
Is
pt
informed
of
plan___
24
hour
orders
reviewed____
 Shift
goals
R

 
 


 

 


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