|
Type of Infusion
• • •
|
|
|
Total Infusion Time:
|
|
|
Add-On's
• • •
|
Comments:
|
|
IV
|
|
|
Guage
• • •
|
Time Started:
|
|
Location
|
Time DC'd:
|
|
Attempts:
|
|
|
Post procedure comments
|
Other Comments:
|
