Heart Rate
Patient ID
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Scan Band or Emter Patient ID from
Provider ID
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Patient's Position
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Supine
Sitting
Standing
Trendelberg
IN Operation theater:Prone, Lithotomy
On Ventilators
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Location of HR
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Radial
Ulnar
Brachial
Femoral
Popliteal
Doralis Pedis
Posterior Tibial
Apical
Temporal
Intra arterial
Ear Lobe
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Device Used
Please Select
Palpation
Pulse Oxymeter
Auscultation
Doppler
Echo
Intra-arterial
Sphygmomanometer
Rate
Please call MD for HR <40 or >120 beats per minutes
Rhythm
Regular
Regularly irregular
Irregularly Irregular
Ectopic Beats
Volume
Normal
Low
Bounding
Other
Characteristics
Alternance
Paradoxus
Bisferience
Parvus at tardus
Data Entry
Manual
Tranmitted via Biomedical device
Wireless Vital Link
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