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Nursing Student

This document contains a list of assessment categories commonly recorded for patients such as isolation status, diagnosis, allergies, code status, respiratory status, intravenous treatments, diet, bowel and urinary functions, skin condition, pertinent lab results, medication administration, tasks and notes. The categories are repeated in columns suggesting it is a template for documenting patient assessments and care for multiple patients.

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Shane Lambert
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1K views1 page

Nursing Student

This document contains a list of assessment categories commonly recorded for patients such as isolation status, diagnosis, allergies, code status, respiratory status, intravenous treatments, diet, bowel and urinary functions, skin condition, pertinent lab results, medication administration, tasks and notes. The categories are repeated in columns suggesting it is a template for documenting patient assessments and care for multiple patients.

Uploaded by

Shane Lambert
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Workout Log: A log sheet designed for tracking workout types, body part focus, equipment used, number of repetitions, sets, and other relevant exercise data.

Room / AO Isolation Room / AO Isolation Room / AO Isolation

Diagnosis Diagnosis Diagnosis


Allergies Allergies Allergies
Code / Tele / EKG Rhythm / CMSW Code / Tele / EKG Rhythm / CMSW Code / Tele / EKG Rhythm / CMSW
Activity / Fall Risk AX1—AX2—LIFT Activity / Fall Risk AX1—AX2—LIFT Activity / Fall Risk AX1—AX2—LIFT
O2 / Breath Sounds O2 / Breath Sounds O2 / Breath Sounds
IV Site / Fluid / Rate IV Site / Fluid / Rate IV Site / Fluid / Rate
Diet / Accu✓ Diet / Accu✓ Diet / Accu✓
GI / GU BM—Voiding—Foley —I/O GI / GU BM—Voiding—Foley —I/O GI / GU BM—Voiding—Foley —I/O
Skin / Braden Scale Skin / Braden Scale Skin / Braden Scale
Pertinent Labs Pertinent Labs Pertinent Labs
MedPass MedPass MedPass
PRN Meds PRN Meds PRN Meds
ToDo / Collect ToDo / Collect ToDo / Collect
Notes Notes Notes

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