|
Subjective
|
|
|
right/left/ B/L
|
Symptoms.
• • •
|
|
when
• • •
|
improved
• • •
|
|
Comments
|
previous treatments?
|
|
Occupation
|
|
|
Objective
|
|
|
Physical Exam
|
|
|
General WNL
|
General Abnormal
• • •
|
|
Skin WNL
|
Skin Comments
|
|
Cardiovascular WNL
|
CV comments
|
|
Extremities WNL
|
Extrem Abnormal
• • •
|
|
Phlebitis
• • •
|
Extrem Comment
|
|
Assessment and Plan
|
|
|
right/Left/ BL
|
vein issue?
|
|
Plan
|
|
