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    Endorsement Sheet 1

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    MARIANN JEAN ANDREA CULANAG MATALINES
    This document contains three nursing shift endorsement sheets. Each sheet includes information about the patient such as room/name, age/sex, diagnosis, and vital signs monitoring schedule. It also lists the charge nurse, medication nurse, and bedside nurse for the shift. Common procedures and patient activities are noted.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Endorsement Sheet 1

    Uploaded by

    MARIANN JEAN ANDREA CULANAG MATALINES
    253 views3 pages
    This document contains three nursing shift endorsement sheets. Each sheet includes information about the patient such as room/name, age/sex, diagnosis, and vital signs monitoring schedule. It also lists the charge nurse, medication nurse, and bedside nurse for the shift. Common procedures and patient activities are noted.

    Original Title

    Endorsement-Sheet-1

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    © © All Rights Reserved

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    This document contains three nursing shift endorsement sheets. Each sheet includes information about the patient such as room/name, age/sex, diagnosis, and vital signs monitoring schedule. It also lists the charge nurse, medication nurse, and bedside nurse for the shift. Common procedures and patient activities are noted.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    253 views3 pages

    Endorsement Sheet 1

    Uploaded by

    MARIANN JEAN ANDREA CULANAG MATALINES
    This document contains three nursing shift endorsement sheets. Each sheet includes information about the patient such as room/name, age/sex, diagnosis, and vital signs monitoring schedule. It also lists the charge nurse, medication nurse, and bedside nurse for the shift. Common procedures and patient activities are noted.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    XUCN GEN WARD-ROTATION Room/Patient: ______________________________

    BSN – 4 NC Age/Sex:__________Religion:________________
    STATION 2C AP: ____________________________________________
    ENDORSEMENT SHEET CC: ____________________________________________
    Dx: ____________________________________________
    DATE: ________________________________________________
    CI: MR PHILIL ELI J NALZARO, RN MN Activity/Diet: _______________________________
    Allergies: ____________________________________
    SN Charge Nurse: Procedures Done: __________________________
    SN Medication Nurse: ________________________________________________
    SN Bedside Nurse:

    V/S q s 4 2 1 02 via ________/_____LPM IVF: __________________________


    I/O q s 4 2 1 FBC__________________ IVTF: ________________________
    02 sat q s 4 2 1 HGT_________________ Special Endorsements:
    NVS q s 4 2 1 Hemovac/JP_______ _______________________________
    CFACSV q s 4 2 1 CTT_________________ _______________________________
    Others: _______________________ Others: _____________ _______________________________

    XUCN GEN WARD-ROTATION Room/Patient: ______________________________


    BSN – 4 NC Age/Sex:__________Religion:________________
    STATION 2C AP: ____________________________________________
    ENDORSEMENT SHEET CC: ____________________________________________
    Dx: ____________________________________________
    DATE: ________________________________________________
    CI: MR PHILIL ELI J NALZARO, RN MN Activity/Diet: _______________________________
    Allergies: ____________________________________
    SN Charge Nurse: Procedures Done: __________________________
    SN Medication Nurse: ________________________________________________
    SN Bedside Nurse:

    V/S q s 4 2 1 02 via ________/_____LPM IVF: __________________________


    I/O q s 4 2 1 FBC__________________ IVTF: ________________________
    02 sat q s 4 2 1 HGT_________________ Special Endorsements:
    NVS q s 4 2 1 Hemovac/JP_______ _______________________________
    CFACSV q s 4 2 1 CTT_________________ _______________________________
    Others: _______________________ Others:_____________ _______________________________

    XUCN GEN WARD-ROTATION Room/Patient: ______________________________


    BSN – 4 NC Age/Sex:__________Religion:________________
    STATION 2C AP: ____________________________________________
    ENDORSEMENT SHEET CC: ____________________________________________
    Dx: ____________________________________________
    DATE: ________________________________________________
    CI: MR PHILIL ELI J NALZARO, RN MN Activity/Diet: _______________________________
    Allergies: ____________________________________
    SN Charge Nurse: Procedures Done: __________________________
    SN Medication Nurse: ________________________________________________
    SN Bedside Nurse:

    V/S q s 4 2 1 02 via ________/_____LPM IVF: __________________________


    I/O q s 4 2 1 FBC__________________ IVTF: ________________________
    02 sat q s 4 2 1 HGT_________________ Special Endorsements:
    NVS q s 4 2 1 Hemovac/JP_______ _______________________________
    CFACSV q s 4 2 1 CTT_________________ _______________________________
    Others: _______________________ Others: _____________ _______________________________
    XUCN STAFFING ROTATION Room/Patient:______________________________
    BSN – 4 NA Age/Sex:__________Religion:________________
    STATION 2A AP:____________________________________________
    ENDORSEMENT SHEET CC:____________________________________________
    Dx:____________________________________________
    DATE: JANUARY 11, 2017 ________________________________________________
    CI: Mrs. Leny V. Baguio, RN MN Activity/Diet:_______________________________
    Allergies:____________________________________
    SN Charge Nurse: Ms. Carl Dorado Procedures Done:__________________________
    SN Medication Nurse: Mr. Kurt Aranas ________________________________________________
    SN Bedside Nurse: Ms. Careen Pabia

    V/S q s 4 2 1 02 via ________/_____LPM IVF:__________________________


    I/O q s 4 2 1 FBC__________________ IVTF:________________________
    02 sat q s 4 2 1 HGT_________________ Special Endorsements:
    NVS q s 4 2 1 Hemovac/JP_______ _______________________________
    CFACSV q s 4 2 1 CTT_________________ _______________________________
    Others: _______________________ Others:_____________ _______________________________

    XUCN STAFFING ROTATION Room/Patient:______________________________


    BSN – 4 NA Age/Sex:__________Religion:________________
    STATION 2A AP:____________________________________________
    ENDORSEMENT SHEET CC:____________________________________________
    Dx:____________________________________________
    DATE: JANUARY 11, 2017 ________________________________________________
    CI: Mrs. Leny V. Baguio, RN MN Activity/Diet:_______________________________
    Allergies:____________________________________
    SN Charge Nurse: Ms. Carl Dorado Procedures Done:__________________________
    SN Medication Nurse: Mr. Kurt Aranas ________________________________________________
    SN Bedside Nurse: Ms. Careen Pabia

    V/S q s 4 2 1 02 via ________/_____LPM IVF:__________________________


    I/O q s 4 2 1 FBC__________________ IVTF:________________________
    02 sat q s 4 2 1 HGT_________________ Special Endorsements:
    NVS q s 4 2 1 Hemovac/JP_______ _______________________________
    CFACSV q s 4 2 1 CTT_________________ _______________________________
    Others: _______________________ Others:_____________ _______________________________

    XUCN STAFFING ROTATION Room/Patient:______________________________


    BSN – 4 NA Age/Sex:__________Religion:________________
    STATION 2A AP:____________________________________________
    ENDORSEMENT SHEET CC:____________________________________________
    Dx:____________________________________________
    DATE: JANUARY 11, 2017 ________________________________________________
    CI: Mrs. Leny V. Baguio, RN MN Activity/Diet:_______________________________
    Allergies:____________________________________
    SN Charge Nurse: Ms. Carl Dorado Procedures Done:__________________________
    SN Medication Nurse: Mr. Kurt Aranas ________________________________________________
    SN Bedside Nurse: Ms. Careen Pabia

    V/S q s 4 2 1 02 via ________/_____LPM IVF:__________________________


    I/O q s 4 2 1 FBC__________________ IVTF:________________________
    02 sat q s 4 2 1 HGT_________________ Special Endorsements:
    NVS q s 4 2 1 Hemovac/JP_______ _______________________________
    CFACSV q s 4 2 1 CTT_________________ _______________________________
    Others: _______________________ Others:_____________ _______________________________

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