Form OR-FN-HS-NU-36 Patient Intake and Output Record - Indiana

Form OR-FN-HS-NU-36 Patient Intake and Output Record - Indiana

What Is Form OR-FN-HS-NU-36?

This is a legal form that was released by the Indiana Family and Social Services Administration - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of the OR-FN-HS-NU-36 Patient Intake and Output Record?
A: The purpose is to track the amount of fluid a patient takes in and produces (output) during their stay in a healthcare facility.

Q: Who uses the OR-FN-HS-NU-36 Patient Intake and Output Record?
A: Healthcare professionals, such as nurses and doctors, use this record to monitor a patient's fluid balance.

Q: What information is recorded on the OR-FN-HS-NU-36 Patient Intake and Output Record?
A: The record includes details of the patient's fluid intake (such as food, beverages, and medication) and their output (such as urine, vomit, and drainage).

Q: Why is it important to monitor a patient's fluid intake and output?
A: Monitoring fluid intake and output helps healthcare professionals assess the patient's hydration status, kidney function, and overall health.

Q: How often is the OR-FN-HS-NU-36 Patient Intake and Output Record filled out?
A: The record can be filled out multiple times a day, depending on the patient's condition and the healthcare facility's protocols.

Q: Can patients or their families fill out the OR-FN-HS-NU-36 Patient Intake and Output Record?
A: In most cases, the record is completed by healthcare professionals. However, if a patient or their family is trained to do so, they may also be involved in filling out the record.

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Form Details:

  • Released on November 9, 2009;
  • The latest edition provided by the Indiana Family and Social Services Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form OR-FN-HS-NU-36 by clicking the link below or browse more documents and templates provided by the Indiana Family and Social Services Administration.

Download Form OR-FN-HS-NU-36 Patient Intake and Output Record - Indiana

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