Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 347 views

    Nurses Notes: 1. Date . Time: .. A) Direct Admission

    Uploaded by

    kiran mahal
    This document contains nurses' notes regarding patient admissions and discharges. It includes sections for direct admissions, transfers from other hospitals, cash discharges, and discharges covered by third party administrators. For admissions, it notes patient details, chief complaints, vital signs, assessments and identification banding. For discharges, it covers discharge medications and instructions, returning extra medications, education provided, removal of lines, handing over reports and bills, and removal of identification bands.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Nurses Notes: 1. Date . Time: .. A) Direct Admission

    Uploaded by

    kiran mahal
    347 views1 page
    This document contains nurses' notes regarding patient admissions and discharges. It includes sections for direct admissions, transfers from other hospitals, cash discharges, and discharges covered by third party administrators. For admissions, it notes patient details, chief complaints, vital signs, assessments and identification banding. For discharges, it covers discharge medications and instructions, returning extra medications, education provided, removal of lines, handing over reports and bills, and removal of identification bands.

    Original Title

    NURSES.docx

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document contains nurses' notes regarding patient admissions and discharges. It includes sections for direct admissions, transfers from other hospitals, cash discharges, and discharges covered by third party administrators. For admissions, it notes patient details, chief complaints, vital signs, assessments and identification banding. For discharges, it covers discharge medications and instructions, returning extra medications, education provided, removal of lines, handing over reports and bills, and removal of identification bands.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    347 views1 page

    Nurses Notes: 1. Date . Time: .. A) Direct Admission

    Uploaded by

    kiran mahal
    This document contains nurses' notes regarding patient admissions and discharges. It includes sections for direct admissions, transfers from other hospitals, cash discharges, and discharges covered by third party administrators. For admissions, it notes patient details, chief complaints, vital signs, assessments and identification banding. For discharges, it covers discharge medications and instructions, returning extra medications, education provided, removal of lines, handing over reports and bills, and removal of identification bands.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    NURSES ‘ NOTES

    1. Date …………………………………. Time :……………………………………..


    a) Direct admission :

    A new patient Ms. / Mr…………………admitted in …………..ward under Dr……..with the


    c/o ( e.g. fever , vomiting , pain , loose motion ) . Patient came by trolley /wheel chair /by
    walk .Patient is conscious , oriented , unconscious . Vital signs are checked and recorded on
    TPR sheet . Initial assessment done . ID band tied .

    Signature of employee ID

    b) Transfer in from other hospital

    A new patient Ms. / Mr…………………admitted in …………..ward under Dr……..with the


    c/o ( e.g. fever , vomiting , pain , loose motion ) . Patient was received with vein flow,
    catheter , RT, Central line , edema , Phlebitis , Bed sore . Vital signs are checked and
    recorded on TPR sheet . Initial assessment done . ID band tied .

    Signature of employee ID

    2. Date …………………………………. Time :……………………………………..


    a) Cash

    Patient Mr / Ms. …………………..under Dr. ………….was admitted on ………and was


    diagnosed as case of ……………….Patient is getting discharged with discharge
    medication and instruction . All extra medicine are returned . All due medicine before
    discharge given to the patient . health education about discharge medicines and discharge
    follow up are explained to the patient and attendants . Patient’s reassessment is done ,
    general condition : stable / poor/fair/average . All invasive lines removed before sending
    the patient . All investigations reports , bills handed over to attendants . ID band removed.
    No dues . No. …………..Patient was shifted on wheelchair / stretcher /by walking

    Signature of employee ID

    b) TPA
    Patient Mr / Ms. …………………..under Dr. ………….was admitted on ………and
    was diagnosed as case of ………………. Patient underwent surgery ……..dressing
    intact , drainage bag on left /right side . all due medicine given before discharge . All
    extra

    You might also like