"Patient Stool Record Chart Template - Ehealth Saskatchewan" - Saskatchewan, Canada

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Patient Stool Record Chart
Patient Name: _________________________________
Patient ID Number: _____________________________
Room/Bed Number: ____________________________
Type/Description (Please refer to stool
chart and tick all that apply)
1
2
3
4
5
6
7
M B
O
M = Mucus present B=Blood present O = Offensive odour
Diarrhea = abnormally frequent watery stools (type 6 or 7).
Send specimen after 3
episode of diarrhea in 24 hours
rd
Source: PICNet CDI Toolkit and Clinical Management Algorithm Feb 2013
Saskatchewan Infection Prevention and Control Program
August 2015
Patient Stool Record Chart
Patient Name: _________________________________
Patient ID Number: _____________________________
Room/Bed Number: ____________________________
Type/Description (Please refer to stool
chart and tick all that apply)
1
2
3
4
5
6
7
M B
O
M = Mucus present B=Blood present O = Offensive odour
Diarrhea = abnormally frequent watery stools (type 6 or 7).
Send specimen after 3
episode of diarrhea in 24 hours
rd
Source: PICNet CDI Toolkit and Clinical Management Algorithm Feb 2013
Saskatchewan Infection Prevention and Control Program
August 2015