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Nursing Report Sheet Template, Study notes of Nursing

Soka University of America (SUA)Nursing

Nurse Report Sheet. Complete. Inspection score. 60.00%. Failed items. 0. Created actions. 0. Patient Name. Rose Ellen Ash. Patient Room. Emerald C-134.

Typology: Study notes

2021/2022

Uploaded on 09/12/2022

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Rose Ellen Ash / Emerald C-134 / 19 Oct 2018 / Gem
Cassidy
Nurse Report Sheet
Complete
Inspection score
60.00%
Failed items
0
Created actions
0
Patient Name
Rose Ellen Ash
Patient Room
Emerald C-134
Conducted on
19th Oct, 2018 4:09 PM +08
Prepared by
Gem Cassidy
Private & Confidential Page 1/4
pf3
pf4

Partial preview of the text

Download Nursing Report Sheet Template and more Study notes Nursing in PDF only on Docsity!

Rose Ellen Ash / Emerald C-134 / 19 Oct 2018 / Gem

Cassidy

Nurse Report Sheet Complete Inspection score

Failed items

Created actions

Patient Name

Rose Ellen Ash

Patient Room

Emerald C-

Conducted on

19th Oct, 2018 4:09 PM +

Prepared by

Gem Cassidy

Audit 60.00%

General Information

Date of Birth

3rd Oct, 2018

Sex Female

Patient Report

Diagnosis

Upper Respiratory Tract Infection and Acute Exacerbation

Does the patient has allergies? Yes

Please enter details

1. Dust

2. Smoke

Patient medical history

1. Bronchial asthma

Code status

Limited

Patient Monitoring - Vital Signs

Click + to add patient monitoring details

Patient Check 1

Time Check

7:00 AM +

Blood Pressure

Heart Rate

80 bpm

Temperature 37.2^ ˚C

Should be between 36.1˚C to 37.2˚C Oxygen Saturation

Labs

X-ray, CBC

Needed Labs

Repeat X-ray

Future Procedures

Follow up check up

Completion

Click + to add Nurse On Duty

Nurse 1

Full Name and Signature of Nurse Attendee

Gem Cassidy

19th Oct, 2018 4:26 PM +