Situation
Pt:
Age:
M / F / O
Code:
ISO:
CC:
Dx:
Proc:
MDs:
Highlights:
Admit:
Background
Assessment
Neuro
Cardiac
Resp
GI
Diet
GU
Vascular
Heme
MSK
Skin
Drains
Infection
Pain
I / O
Labs
IV Sites
GTTs
Rec / Plan
Misc / To‑Do