Biomedical Engineering Reference
In-Depth Information
Example 2. Vital Signs Monitoring Checklist
(Source: U.S. Coast Guard National Strike Force)
ON-SITE MEDICAL MONITORING (ENTRY TEAM)
NAME:
CASE:
CASE NO.:
DATE:
EXPOSURE RISK: HIGH/MED/LOW
PROTECTIVE EQUIPMENT:
SUBSTANCE(S) INVOLVED:
CONCENTRATION/LENGTH OF EXPOSURE:
MEDICAL TESTING:
COMMENTS:
∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗
PRE-ENTRY MEDICAL MONITORING: WEIGHT:
TEMPERATURE:
METHOD:
PULSE:
BP:SYSTOLIC
/DIASTOLIC
METHOD:
MONITORING CONDUCTED BY:
∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗
POST-ENTRY MEDICAL MONITORING:
WEIGHT:
TEMPERATURE:
METHOD:
PULSE:
BP:
SYSTOLIC
/DIASTOLIC
METHOD:
MONITORING CONDUCTED BY:
∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗∗
SUPERVISOR (RO/RS) VERIFICATION:
NAME:
COMMENTS:
