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Rate \nCvP \nTemp. \nPain Score \nP.O.NV. \nSedation Score \nBM Score \nHemoCue Score \nWound Score \u00ab \nWound Score \nWound Score \nPV Staining \nCircutation +ve\/-ve \nSensation +ve\/-ve \nMovement +ve\/-ve \nPedal Pulse \u2014 Left \nPedal Pulse - Right \nDrain 1 \nDrain 2 \nDrain 3 \nDrain 4 \nStaff initials \nAffix Addressograph Label \nName: \nCHI: \n\u2018DOB . \nAirway Type \n&t \nMaintaining own airway \n\" Guedel \n_ Naso-pharyngeal \nETT. \n1 \n2 \n3 \n4 LMA. \n5 \n6 \n\u201cTracheostomy \n100 None - \nPost Operative Naus\u00e9a.and Vomiting Assessment \n1 Mild - Not distressed; No retching\/vomiting \n2 Moderate \u2014 Troublesome; Occasional retching\/vomiting \n3 Severe - Distressing; Frequent retching\/vomiting \n.Sedation Score \n0 Awake \nS Normal Sleep \n. \n|1 Drowsy, easy to rouse \u2014 Eyes open to Speech or light \n_shaking \n2 Sedated, difficult to rouse \u2014 Eyes open only to vigorous \nshaking : \n< \n3 Unconscious, unrousable , \nWound S'core. ' \n.0 Dryand Intact, \nSlight Staining \n1 \n2 Moderate Staining \n3 \nSaturation \/ Pad required \nPain Score \no |1 | 23|45 |e6l7]|8|9]1 \nNo \n. . Mild Pain Moderate Pain Severe Pain \nPain 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