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  • Sample Charting

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    Jonathan Dimaculangan
    109 views1 page
    The document describes a patient's charting at 3pm. The patient was awake and sitting on their bed, conscious and coherent. They were on a full diet and an IV was infusing well, with vital signs, intake and output recorded. Side rails were raised on the bed before the nurse endorsed the charting.

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    The document describes a patient's charting at 3pm. The patient was awake and sitting on their bed, conscious and coherent. They were on a full diet and an IV was infusing well, with vital signs, intake and output recorded. Side rails were raised on the bed before the nurse endorsed the charting.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    109 views1 page

    Sample Charting

    Uploaded by

    Jonathan Dimaculangan
    The document describes a patient's charting at 3pm. The patient was awake and sitting on their bed, conscious and coherent. They were on a full diet and an IV was infusing well, with vital signs, intake and output recorded. Side rails were raised on the bed before the nurse endorsed the charting.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Sample Charting

    3pm

     Received awake, sitting on bed


     Conscious and coherent
     On full diet – advised
     c ongoing IVF of PNSS 1L @ 30cc/hr @ 900cc level, infusing well
     For repeat K+ tomorrow AM
     Vital signs taken and recorded
     Intake and Output measured and recorded
     Side rails raised
     Endorsed

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