UNIVERSITY OF THE CORDILLERAS HOSPITAL

COLLEGE OF NURSING

PATIENTS NAME: Ms. Monday_______________________ HOSPITAL NUMBER: ____________________

DATE/SHIFT FOCUS NURSES NOTES

19/02/21 Risk for bleeding D: patient reports experience of light spotting, noted moderate active bleeding
the vaginal vault with the cervical os open upon assessment, noted blood clots or
tissue on a peripad upon assessment -----------------------------------------------------------
A: Monitored vital signs, monitored bleeding site, monitored intake and output,
placed the patient flat in bed, changed peripad, started IV of one liter of normal
saline-----------------------------------------------------------------------------------------------------
R: Patient bleeding stopped---------------------------------------------------------------------JB