Name: | Gender: | Age: | Ward Bed NO: | Hospitalization NO: | Surgical pathway: | ||||||||||||||||
Surgery name: | Time back to the ward: | ||||||||||||||||||||
Date | Time | T | P | BP | Dorsal artery pulsation | Puncture site bleeding | subcutaneous hematoma | Bilateral limb skin temperature | Surgery Limb skincolor | Bleeding Sign | operative limb braking time | Clotting time | Condition change and treatment | signature | |||||||
˚C | /min | mmHg | good | weak | unfelt | no | yes | no | Scope (cm) | same | unsame |
| yes | no |
| s |
|
| |||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |