The actual card itself is great quality - I bought it as a new grad and it's held up great on my keycard badge for the last 18 months.
I work on a peds med/surg floor, and while the vitals are slightly off from what my facility uses (https://childhealthbc.ca/bc_pews/vital_signs/lanyard_card) it's fine for a quick reference as I keep destroying the lower-quality ones my hospital provides.
My big issue is the APGAR scores - it's so maternity/L&D specific that I've literally never looked at it. Would've loved to have like a FACES scale for pain or something since I use that every day