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SPU Beta Blocker Compliance
SPU Beta Blocker Compliance
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Created by Qualaris Staff
Critical Access Hospital
Short Procedure Unit
Table of Contents
Audit Form
Audit Form
SPU Beta Blocker Compliance
Required
Observed Date
Unit
ED
ICU
Med-Surg
PACU
Rehab
SPU Beta Blocker Compliance Checklist
Mark all as...
Patient took own beta blocker prior to arrival
Yes
No
N/A
Patient medicated with beta blocker by nurse pre-op
Yes
No
N/A
If no beta blocker used/given, is there documentation to describe why?
Yes
No
N/A
Compliance with Beta Blocker protocol?
Yes
No
N/A
