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Rm: _____ Name __________________ CODE: _____                              DONE:___
                                                            In     Out   VS
                                                                         Med
                                                                         Mar
                                                                         IV
                                                                         Post
                                                                         Pt.
                                                                         Strip
 Labs                                                                    Tape
______
                                                               IV Fluids      Re-check
                                                            NaCl _________
                                                            Hep __________
                                                            NTG __________




Protocols   Time   Value   Replace   Re-check   MAR Times            Glucs ____
K+                                                               0700

Mg                                                               1200
 Heparin                                                         1700
_______                                                          NOC
_______                                                          _____


Rm: _____ Name __________________ CODE: _____                              DONE:___
                                                            In     Out   VS
                                                                         Med
                                                                         Mar
                                                                         IV
                                                                         Post
                                                                         Pt.
                                                                         Strip
 Labs                                                                    Tape
______
                                                               IV Fluids      Re-check
                                                            NaCl _________
                                                            Hep __________
                                                            NTG __________




Protocols   Time   Value   Replace   Re-check   MAR Times            Glucs ____
K+                                                               0700

Mg                                                               1200
 Heparin                                                         1700
_______                                                          NOC
_______                                                          _____

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