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ID: . ROOM: . HPI: . OVN: . Neuro : Exam: Meds: Labs/ Rads : A/P: CV : VS : HR BP MAP Exam: Meds: Labs/ Rads : A/P : . Pulm : VS: RR 02 sat Exam: ABG : Ventilator:

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  1. ID: ROOM: HPI: OVN: Neuro: Exam: Meds: Labs/Rads: A/P: CV: VS: HR BP MAP Exam: Meds: Labs/Rads: A/P: Pulm: VS: RR 02 sat Exam: ABG : Ventilator: (Mode | FI02 | TV | Patient Rate / Set Rate | Peep | PS | PAP) Labs: Rads: Meds: A/P:

  2. ID: ROOM: GI: Exam: Labs: LFTs Meds: Ancillary: A/P: FEN/Renal: I/O: Labs: Chemistry Meds: A/P: Heme/Onc: Labs: cbc, Coags Meds: A/P: ID: Tm/c:, , Labs/cultures: Meds: A/P: Endo: Labs: Meds: A/P: MSK/Skin: Labs: Meds: A/P: Lines and Drains DVT PPX: GI/Other PPX: Dispo:

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