Nurses notes 111021 - Nursing assignments, collin college use as needed. PDF

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Nursing assignments, collin college use as needed....

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COLLIN COLLEGE ADN PROGRAM – RNSG 2361 63

Narrative Nurses’ Notes Patrick Pham Student Name: __________________________ 11/10/21 Date of Care: ____________________________

DE Client Initial: ________________ 305 Room No.: __________________ Nurse’s Name

Time

0700

Received morning report from night shift nursing staff; noted patient did headache and requested pain meds.----------------

CCSN2

0900

Medication given to patient prior to breakfast; morning

1100

physical head-to-toe assessment completed-------------------Checked on patient; obtained vital signs(BP normal).

CCSN2

1300

Checked on patient life vest fitting, patient not in pain (0/10).--------Checked on patient; ensured that lunch was delivered; reobtained vital signs to see of any PRN medications needed.

CCSN2

1500

CCSN2

Checked on patient before shift change; patient is NAD; vital signs all normal and patient is not in any pain. Shift change report given to PM nurse.-----------------------------------------------

CCSN2...