Assessment Register

Pre op

Vital Sign Other notes Preview

Intra - op

Sign in Time out Swab count Other item count Specimen Drain SSI prevention Position VTE prevention Medical equipment related trauma Vital sign/Pain score Preview

Post op

Patient assessment Vital sign Patient ready for transfer to

Output

Patient: สุรพงศ์ เมฆวิวัตน์มงคล

HN: 2031152

DOB: 11/12/1996

Age: 25 years 5 months

Ward: Rehabilitation

Patient transferred to:

X-Ray

Ward

St to

RR

Patient assessment for discharge summary:

Consciousnness:

Alert Confuse Sedate Unconscious

Respiratory:

Normal	Distressed
Ambu bag	ET tube
Tracheostomy	O2 Via

Surgical site bleeding checking :

No Yes

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