HESI Case Studies.....documentation example

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Nurse Brain... Im going to really need an organized one of these in a few months... yikes!

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7 Tips Every Nurse Should Follow for Patient Documentation

Patient documenting is important, in life and in business. Communication, accuracy, and attention to detail ensure that nurse mistakes are not made.

Documentation. Here is a list I typed up of 100 common intervention terms used in documentation.

100 common intervention terms used in documentation- from the "Creative Clinical Social Worker"

Head to toe

Basic Head-to-Toe Assessment History of present illness – Brief synopsis of illness from admission to day of care;