Junior Clinical Health Charting Simulation
Vital Signs • Visual Acuity • Orthostatic Blood Pressure • Notes
Classroom Simulation:
Do not enter real patient personal information such as SSN, address, phone number, date of birth, medical record number, or other private identifying information.
Patient Information
Student Name
Patient Initials / Simulation ID
Date
Vital Signs
Temperature
Unit
°F
°C
Route
Oral
Tympanic
Temporal
Axillary
Pulse (bpm)
Pulse Site
Radial
Apical
Brachial
Rhythm
Regular
Irregular
Respirations (/min)
Respiratory Quality
Normal / Unlabored
Labored
Shallow
Deep
Irregular
SpO₂ (%)
Systolic BP
Diastolic BP
Arm
Right
Left
Pain (0–10)
Common adult resting ranges:
Pulse 60–100 bpm • Respirations 12–20/min • SpO₂ commonly 95–100% • Normal BP is generally less than 120/80 mmHg. Temperature varies by route and clinical situation.
Visual Acuity
OD — Right Eye
OS — Left Eye
OU — Both Eyes
Corrective Lenses
None
Glasses
Contacts
Remember:
OD = right eye • OS = left eye • OU = both eyes. Always document whether glasses or contacts were worn during testing. 20/20 is commonly considered normal distance visual acuity.
Orthostatic Blood Pressure
Position
Systolic
Diastolic
Pulse
Symptoms
Supine / Lying
Sitting
Standing
Orthostatic BP:
Record BP, pulse, and symptoms with position changes. A decrease of ≥20 mmHg systolic or ≥10 mmHg diastolic within 3 minutes of standing is commonly used to define orthostatic hypotension. Follow instructor/facility procedure and protect the patient from falls if dizziness or weakness occurs.
Notes
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