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Total Intake and Output Record

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$28.30
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1 – 4$28.30
5 – 9$25.00
10 – 14$21.50
15 +$17.80
SKU: CFS6-25P
$28.30

UPDATED SEPTEMBER 2023

The Briggs Total intake and Output Record provides two (2) 7-day documentation records of intake and output on each shift. The record includes:

-Weekly intake and output evaluation

-Presence of fluid restriction order including amount and reason for restriction

-Characteristics of urine

-Skin turgor

-Edema

-Clinician comments

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·Size: 8 1/2" x 11"

·White paper, black ink

·Printed two sides same

·5-hole punched top and side

·100 per pad

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