Merced College - Merced Community College District - (209 ...
AM REPORTRoom: Age: Sex:Admit date:Doctors:Brief history of why admitted:Admitting Diagnoses:PMH/Medical/Surgical diagnosis:Psychosocial:Allergies:Code status:Specific Labs/Diagnostic Tests (Needs observation during shift):IVs:Average vital signs:Diet:Nursing Concerns/considerations/risks:3 NANDAs with related to statements (Pre-care/Post-care) 3 Interventions for first 2 NANDAs:1)2)3)Timeline:DietActivityVital Signs ScheduleFoleyI & OMisc06300730083009301030113012301330143015301630Medication Groupings (Why patient is receiving)Laboratory/Diagnostic Testing Groupings (why patient had performed) ................
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