Free printable vital signs forms
[DOC File]Fall Prevention and Management Program
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Determine vital signs to include sitting/standing blood pressure (manual cuff) and pulse. If diabetic, check blood glucose. Determine circumstances leading to the fall with corrections. For the 48 hours following the fall: Obtain vital signs …
[DOC File]source document template - VA Portland
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these templates are for Pis and their study coordinators and should be used as examples or templates to build from and modify to meet their specific needs. Source document templates include …
[DOC File]Checklist for Skill 1 - ICTR
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General Guidelines for Vital Signs . 1. Check record for baseline and factors (age, illness, medications, etc.) influencing vital signs. 2. Gather equipment, including paper and pen, for recording vital signs. …
[DOC File]Competency Assessment Form for:
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Competency Method of Verification * ** Date Completed General Skills Hand Washing How often and when should you wash your hands? Vital Signs ( Temp ( Pulse ( Respiration ( BP Approved peer …
[DOC File]Medication Administration Record (MAR)
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MO/YR: Start/Stop Date Facility Name: Medication Hour 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
[DOC File]Admission Packet - Home Health Forms
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Initials. Welcome Page / Hours of Operation Admission Criteria Rights / Responsibilities of Patient / Grievances Rights of the Elderly HIPPA Medicaid or Medicare Fraud Reporting Abuse, Neglect, …
[DOC File]Individual Narcotic Count Sheet
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Individual Narcotic Count Sheet DHS 4570 revision 7/2014 Client: Debbie Aljets SACU
[DOC File]Template for Simulation Patient Design
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For each state you should write down what you would like the learner to do, what happens to the patient (including vital sign changes, lab values, etc) and what the trigger would be to move to the next state. …
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