Megan Westmorland

East Tennessee State University

College of Nursing
3501 Patient Centered Care 2
Progress/Nursing Note
Date/
Time

4/6/16
0900

Focus

Foley
Catheter
Removal

Nursing Entry

D: Patient states catheter is uncomfortable and

requested the
doctor.-------------------------------------------------------------------------A: Discontinued Foley catheter per physicians
orders. Emptied 200 cc of yellow urine. Withdrew
10 cc of water from balloon. Catheter removed
without difficulty with intact catheter tip. Instructed
patient to notify nurse of first void. ----------------------R: Patient reports no pain after
removal.--------------------------------------------------------------------------------M. Westmorland, ETSU NS

Documentation Rubric
Content
Legible handwriting. Turned in on time.
Minus 1 point for illegible handwriting and or turned
in late.
Includes date, time, focus, and ETSU NS signature.
No blank lines. Minus 0.5 points for each error in this
section.
Body includes all components of DAR for the focus
problem with correct spelling. Minus 0.5 for each
error in this section.
Total

Possible
Points
2

10

Points
Earned