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  • Forms in Functional Nursing

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    Minah Aguilar
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    This document contains forms used by nursing students and instructors during a clinical rotation. It includes an endorsement sheet to record patient information, a medication sheet to track medications administered, a vital signs monitoring sheet, a laboratory and diagnostic examination sheet, and an IV fluid endorsement sheet. All of the sheets are meant to document various aspects of patient care delivered by the nursing students during their clinical experience under the supervision of an instructor.

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    Forms

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    This document contains forms used by nursing students and instructors during a clinical rotation. It includes an endorsement sheet to record patient information, a medication sheet to track medications administered, a vital signs monitoring sheet, a laboratory and diagnostic examination sheet, and an IV fluid endorsement sheet. All of the sheets are meant to document various aspects of patient care delivered by the nursing students during their clinical experience under the supervision of an instructor.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    27 views5 pages

    Forms in Functional Nursing

    Uploaded by

    Minah Aguilar
    This document contains forms used by nursing students and instructors during a clinical rotation. It includes an endorsement sheet to record patient information, a medication sheet to track medications administered, a vital signs monitoring sheet, a laboratory and diagnostic examination sheet, and an IV fluid endorsement sheet. All of the sheets are meant to document various aspects of patient care delivered by the nursing students during their clinical experience under the supervision of an instructor.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 5

    Catanduanes State University COLLEGE OF HEALTH SCIENCES Department of Nursing Virac, Catanduanes NCM 107 RLE BSN 4B/GROUP

    3 TEAM WARD: DATE: METHOD OF NURSING CARE: HEAD NURSE: TIME: CLINICAL INSTRUCTOR:

    ENDORSEMENT SHEET
    NAME OF PATIENTS BED NO. DIAGNOSIS ATTENDING PHYSICIAN DATE OF ADMISSION AGE DIET IVF REGULATION LEVEL RECEIVED LAB EXAMS REMARKS

    Catanduanes State University

    COLLEGE OF HEALTH SCIENCES Department of Nursing Virac, Catanduanes NCM 107 RLE BSN 4B/GROUP 3 TEAM WARD: DATE: METHOD OF NURSING CARE: HEAD NURSE: TIME: CLINICAL INSTRUCTOR:

    MEDICATION SHEET
    TIME NAME OF PATIENTS UNIT DIAGNOSIS MEDICATIONS DOSE DESIRED FRE ROUTE COMPUTATION QUANTITY

    7 3

    8 4

    9 5

    10 6

    11 7

    12 8

    1 9

    2 10

    3 11

    REMARKS

    HEAD NURSE: CLINICAL INSTRUCTOR:

    MEDICATION NURSE:

    Catanduanes State University

    COLLEGE OF HEALTH SCIENCES Department of Nursing Virac, Catanduanes NCM 107 RLE BSN 4B/GROUP 3 TEAM WARD: DATE: METHOD OF NURSING CARE: HEAD NURSE: TIME: CLINICAL INSTRUCTOR:

    VITAL SIGNS MONITORING SHEET


    NAME OF PATIENT T P 8 AM R BP REMARKS T P 12 PM R BP REMARKS

    HEAD NURSE: CLINICAL INSTRUCTOR:

    VITAL SIGN AND TREATMENT NURSE:

    Catanduanes State University COLLEGE OF HEALTH SCIENCES

    Department of Nursing Virac, Catanduanes NCM 107 RLE BSN 4B/GROUP 3 TEAM WARD: DATE: METHOD OF NURSING CARE: HEAD NURSE: TIME: CLINICAL INSTRUCTOR:

    LABORATORY AND DIAGNOSTIC EXAMINATION SHEET


    NAME OF PATIENT LABORATORY EXAM/ PROCEDURE REMARKS

    HEAD NURSE: CLINICAL INSTRUCTOR:

    VITAL SIGN AND TREATMENT NURSE:

    Catanduanes State University COLLEGE OF HEALTH SCIENCES Department of Nursing

    Virac, Catanduanes NCM 107 RLE BSN 4B/GROUP 3 TEAM WARD: DATE: METHOD OF NURSING CARE: HEAD NURSE: TIME: CLINICAL INSTRUCTOR:

    IV FLUID ENDORSEMENT SHEET


    NAME OF PATIENT IVF LEVEL RATE REMARKS

    HEAD NURSE: CLINICAL INSTRUCTOR:

    VITAL SIGN AND TREATMENT NURSE:

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