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    Pre Data Paper Before Clinical Day

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    waynes83regal
    This document contains a preliminary data sheet for a nursing student's clinical assignment. It includes information about the patient such as age, marital status, residence, medical diagnoses, surgeries, allergies and code status. It also outlines the patient's diet, IV fluids and vital sign monitoring. Planned nursing actions such as wound care are noted. Attached medication and diagnostic test sheets provide additional clinical details.

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    Pre Data Paper Before Clinical Day

    Uploaded by

    waynes83regal
    9 views4 pages
    This document contains a preliminary data sheet for a nursing student's clinical assignment. It includes information about the patient such as age, marital status, residence, medical diagnoses, surgeries, allergies and code status. It also outlines the patient's diet, IV fluids and vital sign monitoring. Planned nursing actions such as wound care are noted. Attached medication and diagnostic test sheets provide additional clinical details.

    Original Description:

    paper that you can use the day of going to get your patient information

    Original Title

    pre data paper before clinical day

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    This document contains a preliminary data sheet for a nursing student's clinical assignment. It includes information about the patient such as age, marital status, residence, medical diagnoses, surgeries, allergies and code status. It also outlines the patient's diet, IV fluids and vital sign monitoring. Planned nursing actions such as wound care are noted. Attached medication and diagnostic test sheets provide additional clinical details.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    9 views4 pages

    Pre Data Paper Before Clinical Day

    Uploaded by

    waynes83regal
    This document contains a preliminary data sheet for a nursing student's clinical assignment. It includes information about the patient such as age, marital status, residence, medical diagnoses, surgeries, allergies and code status. It also outlines the patient's diet, IV fluids and vital sign monitoring. Planned nursing actions such as wound care are noted. Attached medication and diagnostic test sheets provide additional clinical details.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 4

    COMMUNITY COLLEGE OF RHODE ISLAND

    NURSING PROGRAM
    PRELIMINARY DATA SHEET FOR CLINICAL ASSIGNMENTS
    Student: _______________________________________________

    Date: _______________________

    Room # ________ Patient (initials) _______ Age _____ Marital Status ____ Residence: Home _____ Other (specify) _____________________
    Reason for Admission: ________________________________________________________________ Date of Admission: _________________
    Medical Diagnoses: (definitions of each to be attached to this sheet) _______________________________________________________________
    Surgery: (definition to be attached to this sheet) _______________________________________________________ Date of Surgery: _________
    Concurrent Medical Problems: _____________________________________________________________________________________________
    Allergies: __________________________________________________________________________________ Code Status: ________________
    NURSING CARE:
    Diet (purpose) ___________________________________________________________________________________________________________
    IV (purpose, solution, rate) _________________________________________________________________________________________________
    I & O:

    yes

    no

    VS (how often) __________________________

    Activity Order: _____________________________________

    Additional Nursing Actions (wound care, foley care, O2 therapy, safety precautions, etc.) _______________________________________________
    _______________________________________________________________________________________________________________________
    _______________________________________________________________________________________________________________________
    _______________________________________________________________________________________________________________________
    _______________________________________________________________________________________________________________________
    Medications: (attach medication sheet)
    Diagnostic Tests/Consults: (attach diagnostic tests sheet)
    01-03 (RAC)

    06/01

    _______________________________________________________________________________________________________________________
    FOCUSED ASSESSMENT

    _______________________________________________________________________________________________________________________
    PLANNED NURSING ACTIONS

    _______________________________________________________________________________________________________________________
    ANTICIPATED LEARNING NEEDS/PATIENT EDUCATION

    01-03 (RAC)

    06/01

    PATIENT: ______________________________
    MEDICATION

    01-03 (RAC)

    DOSE

    TIME

    ROUTE

    DATE: _________________
    REASON GIVEN

    NURSING MEASURES

    STUDENT: _____________________________________
    MAJOR SIDE EFFECTS

    SPECIAL CONSIDERATIONS

    06/01

    PATIENT: ______________________________
    DIAGNOSTIC TEST

    DATE

    DIAGNOSTIC TESTS/CONSULTS
    NORMAL

    PATIENT RESULTS

    NURSING SIGNIFICANCE

    CONSULTATIONS: (List type, date and results if available)

    01-03 (RAC)

    06/01

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