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The RN Report Card is a nurse's shift report sheet. RN Report card is an essential part of every nurse's array of tools. RN Report Card has had 90% approval rating with Nurse's. The RN Report Card is 5X7, lightweight, and fits in the pockets of your scrubs. RN Report Card helps nurses ,manage patient information, save time, reduce stress, help make better decisions, and improves patient satisfaction.Checkout RN Report Card @ http://www.rnreportcard.com
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®R
epor
tC
ard
Rep
ort
Car
d
�e
One
and
Onl
yN
urse
’s R
epor
t Car
d
Cop
yright
2008
GogaJ
ET, Inc.
A Gree
n Com
pany
Copyright 2008 GogaJET, Inc.
®R
epor
tC
ard
Rep
ort
Car
d
�e
One
and
Onl
yN
urse
’s R
epor
t Car
d
Cop
yright
2008
GogaJ
ET, Inc.
A Gree
n Com
pany PATIENT
INFORMATIONDISPOSAL
DISCLAIMERIn accordance with current HIPAA laws, please dispose of all patient
information appropriately. HIPAA protects all “individually identi�able health information” which includes all information pertaining to the
patient’s diagnosis, treatment, as well as any patient identi�ers. Be sure to utilize your facility’s approved patient data disposal systems.
Copyright 2008 GogaJET, Inc.
Join UsRN BLOG
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FACEBOOKSearch “RNREPORT CARD”
TWI�ERwww.twi�er.com/rnreportcard
LINKEDINwww.linkedin.com/in/rnreportcard
ReportCard®ReportCard
Copyright 2008 GogaJET, Inc.
Join UsRN BLOG
www.rnreportcard.com/blog
FACEBOOKSearch “RNREPORT CARD”
TWI�ERwww.twi�er.com/rnreportcard
LINKEDINwww.linkedin.com/in/rnreportcard
ReportCard®ReportCard REORDER
INFORMATIONONLINE
www.rnreportcard.com
PHONE1-888-720-4RNS (4767)
ReportCard®ReportCard
Copyright 2008 GogaJET, Inc.
GlucoseK
BUN
CreatinineCO 2
CINa
INR MagP�PT
WBCHCT
Hbg
Plt
Med Time(s)
_______________________________
Admit:__________________________
Age:___________ Sex:_____________
MD/Service:_____________________________ Dx:______________ Admit Reason:______________________________
Rhythm/Tele#:_______________________________________ IV/Date:________________________________________ Allergies:___________________________________________________________________________________________
_________________ _________________ _________________ _________________
Vitals ______ BP:_________ HR:______ Resp:______ Temp:_______ Pain:_______
______ BP:_________ HR:______ Resp:______ Temp:_______ Pain:_______
______ BP:_________ HR:______ Resp:______ Temp:_______ Pain:_______
Daily Weight:________________________Accucheck:_____________
Fall Precautions Foley
Drips:_______________________
Drips:_______________________
Drips:_______________________
Diet:__________________
O2 Sat:________ Vent:______________________________________________________________________
Isolation: ( contact - droplets - respiratory )
Vaccines:____________________________________________________
Notes:_________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
Name / Room / Bed: HX:____________________________________________________________
_______________________________________________________________
_______________________________________________________________
Activity:__________________________
Time
Time
Time
8:00 10:00 14:00 16:00
Alexandra J. Jefferson 2046 2
Rivero / GI - 305-321-2525
54 Female
07/09/ 10
NSR / 2951
Colon CA Chemo
AS Tolerated
PIV - 20 Gauge - R. hand NS @ 100 ml / hr
NKA
Regular
Crohns Disease, DM, BKA Left Leg
08:10 123 / 75 65 20 98.5 0
67 20 98.2 5
80 20 96.5 2
153 / 76
125 / 75
12:00
16:07
✓
✓
AC / HS BKA, Walker
H1N1, Influenza
- CT Scan Complete- Consent for PRBC
- PRBC
- MD Called @ 1400 for temp of 101.0
1399 1
109 24
3.6 39
1 1.2
10.6 23633.0
1.1
EXAMPLECopyright 2008 GogaJET, Inc.
PROCEDURES ASSESSMENT
AA0X3 Confused Disoriented PERRLAParalysis Pain Ambulation GaitBC ______________ _
CT Scan
CXray
Echo
EEG
EKG
MRI
UA
U C/S
U/S
X-Ray
Done Neuro:
Wheezes Crackles Rhonchi RalesStridor Trach 02 ISChest Tube Cough Non/Productive
Respiratory:
Pulses HR S3 S4EdemaRhythm & Character
Vascular Access Devices Capillary Re�ll
Cardio:
Pending
Apical
So� Distended BMNG Tube N/VColostomy Incontinent
GI:
FlatusTube Feeding
+ BSIleostomy
Voiding TURP
Character
Bladder Distened
CBIIncontinent Nephrostomy TubeMiami Pouch
Foley
GU:
Edema drsg IncisionTurgor Clammy Dry IntactFrictionRashes Stage I Stage II Stage III
TEDS SCD Lesions
Intergumentary:Temp
Neuro ENT OptometryCardiac Pulmonary GI ColorectalGUDerm
GYO Nephrology IDSurgery Anesthesia Plastics
Oncology Speech Ortho SpinePainSocial Work
Wound Care RadOnc Psych
Consults:Endocrine
Notes:___________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______ ______________ _
✓ ✓
✓
✓ ✓
X2
infiltrates
✓
✓
✓✓
✓
✓
✓ ✓
✓ ✓
02 - NC - 2 L
+ 2 Edema BLE
EXAMPLE
07/09/ 10
07/09/ 10
GlucoseK
BUN
CreatinineCO 2
CINa
INR MagP�PT
WBCHCT
Hbg
Plt
Med Time(s)
_______________________________
Admit:__________________________
Age:___________ Sex:_____________
MD/Service:_____________________________ Dx:______________ Admit Reason:______________________________
Rhythm/Tele#:_______________________________________ IV/Date:________________________________________ Allergies:___________________________________________________________________________________________
_________________ _________________ _________________ _________________
Vitals ______ BP:_________ HR:______ Resp:______ Temp:_______ Pain:_______
______ BP:_________ HR:______ Resp:______ Temp:_______ Pain:_______
______ BP:_________ HR:______ Resp:______ Temp:_______ Pain:_______
Daily Weight:________________________Accucheck:_____________
Fall Precautions Foley
Drips:_______________________
Drips:_______________________
Drips:_______________________
Diet:__________________
O2 Sat:________ Vent:______________________________________________________________________
Isolation: ( contact - droplets - respiratory )
Vaccines:____________________________________________________
Notes:_________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
Name / Room / Bed: HX:____________________________________________________________
_______________________________________________________________
_______________________________________________________________
Activity:__________________________
Time
Time
Time
8:00 10:00 14:00 16:00
Alexandra J. Jefferson 2046 2
Rivero / GI - 305-321-2525
54 Female
07/09/ 10
NSR / 2951
Colon CA Chemo
AS Tolerated
PIV - 20 Gauge - R. hand NS @ 100 ml / hr
NKA
Regular
Crohns Disease, DM, BKA Left Leg
08:10 123 / 75 65 20 98.5 0
67 20 98.2 5
80 20 96.5 2
153 / 76
125 / 75
12:00
16:07
✓
✓
AC / HS BKA, Walker
H1N1, Influenza
- CT Scan Complete- Consent for PRBC
- PRBC
- MD Called @ 1400 for temp of 101.0
1399 1
109 24
3.6 39
1 1.2
10.6 23633.0
1.1
EXAMPLE
PROCEDURES ASSESSMENT
AA0X3 Confused Disoriented PERRLAParalysis Pain Ambulation GaitBC ______________ _
CT Scan
CXray
Echo
EEG
EKG
MRI
UA
U C/S
U/S
X-Ray
Done Neuro:
Wheezes Crackles Rhonchi RalesStridor Trach 02 ISChest Tube Cough Non/Productive
Respiratory:
Pulses HR S3 S4EdemaRhythm & Character
Vascular Access Devices Capillary Re�ll
Cardio:
Pending
Apical
So� Distended BMNG Tube N/VColostomy Incontinent
GI:
FlatusTube Feeding
+ BSIleostomy
Voiding TURP
Character
Bladder Distened
CBIIncontinent Nephrostomy TubeMiami Pouch
Foley
GU:
Edema drsg IncisionTurgor Clammy Dry IntactFrictionRashes Stage I Stage II Stage III
TEDS SCD Lesions
Intergumentary:Temp
Neuro ENT OptometryCardiac Pulmonary GI ColorectalGUDerm
GYO Nephrology IDSurgery Anesthesia Plastics
Oncology Speech Ortho SpinePainSocial Work
Wound Care RadOnc Psych
Consults:Endocrine
Notes:___________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______ ______________ _
✓ ✓
✓
✓ ✓
X2
infiltrates
✓
✓
✓✓
✓
✓
✓ ✓
✓ ✓
02 - NC - 2 L
+ 2 Edema BLE
EXAMPLE
07/09/ 10
07/09/ 10
Copyright 2008 GogaJET, Inc.
Copyright 2008 GogaJET, Inc.
GlucoseK
BUN
CreatinineCO 2
CINa
INR MagP�PT
WBCHCT
Hbg
Plt
Med Time(s)
_______________________________
Admit:__________________________
Age:___________ Sex:_____________
MD/Service:_____________________________ Dx:______________ Admit Reason:______________________________
Rhythm/Tele#:_______________________________________ IV/Date:________________________________________ Allergies:___________________________________________________________________________________________
_________________ _________________ _________________ _________________
Vitals ______ BP:_________ HR:______ Resp:______ Temp:_______ Pain:_______
______ BP:_________ HR:______ Resp:______ Temp:_______ Pain:_______
______ BP:_________ HR:______ Resp:______ Temp:_______ Pain:_______
Daily Weight:________________________Accucheck:_____________
Fall Precautions Foley
Drips:_______________________
Drips:_______________________
Drips:_______________________
Diet:__________________
O2 Sat:________ Vent:______________________________________________________________________
Isolation: ( contact - droplets - respiratory )
Vaccines:____________________________________________________
Notes:_________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
Name / Room / Bed: HX:____________________________________________________________
_______________________________________________________________
_______________________________________________________________
Activity:__________________________
Time
Time
Time
PROCEDURES ASSESSMENT
AA0X3 Confused Disoriented PERRLAParalysis Pain Ambulation GaitBC ______________ _
CT Scan
CXray
Echo
EEG
EKG
MRI
UA
U C/S
U/S
X-Ray
Done Neuro:
Wheezes Crackles Rhonchi RalesStridor Trach 02 ISChest Tube Cough Non/Productive
Respiratory:
Pulses HR S3 S4EdemaRhythm & Character
Vascular Access Devices Capillary Re�ll
Cardio:
Pending
Apical
So� Distended BMNG Tube N/VColostomy Incontinent
GI:
FlatusTube Feeding
+ BSIleostomy
Voiding TURP
Character
Bladder Distened
CBIIncontinent Nephrostomy TubeMiami Pouch
Foley
GU:
Edema drsg IncisionTurgor Clammy Dry IntactFrictionRashes Stage I Stage II Stage III
TEDS SCD Lesions
Intergumentary:Temp
Neuro ENT OptometryCardiac Pulmonary GI ColorectalGUDerm
GYO Nephrology IDSurgery Anesthesia Plastics
Oncology Speech Ortho SpinePainSocial Work
Wound Care RadOnc Psych
Consults:Endocrine
Notes:___________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______ ______________ _
GlucoseK
BUN
CreatinineCO 2
CINa
INR MagP�PT
WBCHCT
Hbg
Plt
Med Time(s)
_______________________________
Admit:__________________________
Age:___________ Sex:_____________
MD/Service:_____________________________ Dx:______________ Admit Reason:______________________________
Rhythm/Tele#:_______________________________________ IV/Date:________________________________________ Allergies:___________________________________________________________________________________________
_________________ _________________ _________________ _________________
Vitals ______ BP:_________ HR:______ Resp:______ Temp:_______ Pain:_______
______ BP:_________ HR:______ Resp:______ Temp:_______ Pain:_______
______ BP:_________ HR:______ Resp:______ Temp:_______ Pain:_______
Daily Weight:________________________Accucheck:_____________
Fall Precautions Foley
Drips:_______________________
Drips:_______________________
Drips:_______________________
Diet:__________________
O2 Sat:________ Vent:______________________________________________________________________
Isolation: ( contact - droplets - respiratory )
Vaccines:____________________________________________________
Notes:_________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
Name / Room / Bed: HX:____________________________________________________________
_______________________________________________________________
_______________________________________________________________
Activity:__________________________
Time
Time
Time
PROCEDURES ASSESSMENT
AA0X3 Confused Disoriented PERRLAParalysis Pain Ambulation GaitBC ______________ _
CT Scan
CXray
Echo
EEG
EKG
MRI
UA
U C/S
U/S
X-Ray
Done Neuro:
Wheezes Crackles Rhonchi RalesStridor Trach 02 ISChest Tube Cough Non/Productive
Respiratory:
Pulses HR S3 S4EdemaRhythm & Character
Vascular Access Devices Capillary Re�ll
Cardio:
Pending
Apical
So� Distended BMNG Tube N/VColostomy Incontinent
GI:
FlatusTube Feeding
+ BSIleostomy
Voiding TURP
Character
Bladder Distened
CBIIncontinent Nephrostomy TubeMiami Pouch
Foley
GU:
Edema drsg IncisionTurgor Clammy Dry IntactFrictionRashes Stage I Stage II Stage III
TEDS SCD Lesions
Intergumentary:Temp
Neuro ENT OptometryCardiac Pulmonary GI ColorectalGUDerm
GYO Nephrology IDSurgery Anesthesia Plastics
Oncology Speech Ortho SpinePainSocial Work
Wound Care RadOnc Psych
Consults:Endocrine
Notes:___________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______________ _
______ ______________ _
Copyright 2008 GogaJET, Inc.
LAB VALUES
Sodium (Na+)
Potassium (K+)
Chloride (CI _)
Carbon dioxide (C02)
Anion Gap
Glucose
BUN
Creatinine
Glomer Filt Rat
TBIL
AST
Total Protein
Albumin
Calcium (Ca+)
ALT (SGPT)
135 - 145 mmol / L
3.5 - 5.2 mmol / L
95 - 110 mmol / L
19 - 34 mmol / L
6 - 22 mg / dL
70 - 110 mg / dL
6 - 22 mg / dL
0.6 - 1.3 mg / dL
>60 ml / min
0.1 - 1.1 mg / d
10 - 40 U / L
5.5 - 8.7 g / dL
3.2 - 5.0 g / dL
8.7 - 10.5 mg / dL
7 - 55 U / L
WBC
RBC
HGB
HCT
MCV
MCH
MCHC
RDW
Platelets
Neutrophil %
Lymphocyte %
Monocyte %
Eosinophil %
Basophil %
3.5 - 9.6 mm3
3.8 - 5.2 M / uL
11.8 - 15.4 gm / dL
34.7 - 45.2 %
81.0 - 97.0 f l
26.0 - 34.0 pg
28.0 - 37.0 gm / dL
11.5 - 15.0 %
147 - 354 mm3
36 - 66 %
23.0 - 43.0 %
0.0 - 10.0 %
0.0 - 5.0 %
0.0 - 1.0 %
Copyright 2008 GogaJET, Inc.
LAB VALUES
Sodium (Na+)
Potassium (K+)
Chloride (CI _)
Carbon dioxide (C02)
Anion Gap
Glucose
BUN
Creatinine
Glomer Filt Rat
TBIL
AST
Total Protein
Albumin
Calcium (Ca+)
ALT (SGPT)
135 - 145 mmol / L
3.5 - 5.2 mmol / L
95 - 110 mmol / L
19 - 34 mmol / L
6 - 22 mg / dL
70 - 110 mg / dL
6 - 22 mg / dL
0.6 - 1.3 mg / dL
>60 ml / min
0.1 - 1.1 mg / d
10 - 40 U / L
5.5 - 8.7 g / dL
3.2 - 5.0 g / dL
8.7 - 10.5 mg / dL
7 - 55 U / L
WBC
RBC
HGB
HCT
MCV
MCH
MCHC
RDW
Platelets
Neutrophil %
Lymphocyte %
Monocyte %
Eosinophil %
Basophil %
3.5 - 9.6 mm3
3.8 - 5.2 M / uL
11.8 - 15.4 gm / dL
34.7 - 45.2 %
81.0 - 97.0 f l
26.0 - 34.0 pg
28.0 - 37.0 gm / dL
11.5 - 15.0 %
147 - 354 mm3
36 - 66 %
23.0 - 43.0 %
0.0 - 10.0 %
0.0 - 5.0 %
0.0 - 1.0 %
Copyright 2008 GogaJET, Inc.
REORDERINFORMATION
ONLINEwww.rnreportcard.com
PHONE1-888-720-4RNS (4767)
ReportCard®ReportCard
Copyright 2008 GogaJET, Inc.
FUN MEDICAL FACTSReport
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Did you know it is impossible for you tosneeze with your eyes open?
The
One
and
Only
Nurs
e’s
Repo
rt C
ard!
Contact us
to r
eord
er!
Onl
ine:
www
.rnre
portc
ard.
com
Phon
e: 1
-888
-720
-476
7
Copy
righ
t 20
08 G
ogaJ
ET, Inc
.
The
One
and
Only
Nurs
e’s
Repo
rt C
ard!
Contact us
to r
eord
er!
Onl
ine:
www
.rnre
portc
ard.
com
Phon
e: 1
-888
-720
-476
7
Copy
righ
t 20
08 G
ogaJ
ET, Inc
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