Printable — Clinical Form
Head-to-Toe Assessment (Simple)
A quick head-to-toe checklist — each system on one line with a "within normal limits" checkbox and a little space for abnormal findings. Want the full cue-prompted version with lines and drains tracking? Switch to the Detailed version.
Letter · portrait · prints without site navigation
Version
DetailedSimple
Fill it in on this device — autosaves, no account needed
Head-to-Toe Assessment
Patient ____________Date / Time ____________
| T | HR | RR | BP | SpO₂ | Pain |
|---|---|---|---|---|---|
WNLNeuroLOC · orientation · pupils · strength
WNLCardiovascularRhythm · heart sounds · pulses · edema
WNLRespiratoryEffort · breath sounds · cough · O₂
WNLGI / AbdomenBowel sounds · soft/distended · last BM · intake
WNLGUVoiding · catheter · output
WNLSkin / WoundsColor · turgor · breakdown · dressings
WNLMusculoskeletal / MobilityMovement · gait · fall risk
Apex Nursing · apex-nursing.com — educational template; verify against facility policy. Not part of the medical record.
Educational use only. A study/organization aid — not part of the medical record. Follow your facility assessment policy. This material supports nursing education and exam review. It is not medical advice and is not a substitute for clinical judgment, institutional policy, or medical direction. Always follow facility protocols and current provider orders.