Effective Nursing Paper Discussion
Question
create a template of a document that could be used to record a person’s support information
Expert Answer
This solution was written by a subject matter expert. It’s designed to help students like you learn core concepts. Effective Nursing Paper Discussion
Step-by-step
1st step
All steps
Answer only
Step 1/2
Explanation:
An effective nursing paper will be accurate, clear, and brief. It should include a description of every necessary step you took to ensure that patients received the care they needed and that your healthcare team members were informed.
- Department
- Inpatient number
- Patient’s name
- Age
- Sex
- History of present illness
- Past medical history and medication history
- Social history
- Diet
- Alcoholic
- Smoker
- Smoker
9.General examination
- Patient condition at the time of admission
10.Systemic examination
- CVS
- RS
- CNS
- P/A
Step 2/2
11.Daily chart
- B.P
- P.R
- Spo2
- R.R
12.Laboratory investigations
13.Others
- ECG
- CT – scan
- Ultra sound scan etc
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14.Final diagnosis
15.Drug chart
16.Nurses record of patient condion on daily basis
17.Treatment progression
18.Diet chart
Explanation:
Assessment, planning, implementation, and evaluation of care should all be included in the nursing record.
Final answer
A traditional paper-based record system includes physically preserving the information that has been recorded using physical media like paper, films, and discs in order to access it when necessary. Effective Nursing Paper Discussion