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  • 13 and HTT F

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    kylie
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    This document contains a nursing assessment form for a patient admitted to the Med-Ped ward. The form collects information on the patient's profile, head-to-toe physical assessment covering 13 body systems, and daily documentation of vital signs and other metrics related to respiratory, circulatory, nutritional, elimination, and integumentary status over the course of admission.

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    This document contains a nursing assessment form for a patient admitted to the Med-Ped ward. The form collects information on the patient's profile, head-to-toe physical assessment covering 13 body systems, and daily documentation of vital signs and other metrics related to respiratory, circulatory, nutritional, elimination, and integumentary status over the course of admission.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    6 views6 pages

    13 and HTT F

    Uploaded by

    kylie
    This document contains a nursing assessment form for a patient admitted to the Med-Ped ward. The form collects information on the patient's profile, head-to-toe physical assessment covering 13 body systems, and daily documentation of vital signs and other metrics related to respiratory, circulatory, nutritional, elimination, and integumentary status over the course of admission.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 6

    Salasibar, Trixie Ann C.

    Med-Ped Ward
    BSN 3B-D Ma’am Milkhay Otinguey Layco
    I. Patient’s Profile
    Name:
    Age/sex:
    Religion:
    Ethnic Background:
    Occupation:
    Admitting diagnosis:

    Final/Principal diagnosis:

    Date and time Admitted:

    Chief complaint:
    II. Head to toe Assessment

    1.head

    2.Eyes

    3.Ears

    4.Nose and Sinuses

    5.Mouth

    6.Neck

    7.Chest

    8.cardiac
    9.Breast

    10.Abdomen

    11.Genitals

    12.Musculoskeletal

    13.Integumentary

    III. 13 areas of assessment

    1. Psychosocial and Psychological Status

    2. Mental and Emotional Status


    3. Environmental Status

    4. Sensory Status and Motor Status


    a. Visual Status

    b. Auditory Status

    c. Olfactory Status

    d. Tactile Status

    e. Gustatory Status

    5. Motor Status

    6. Thermoregulatory Status
    DATE TIME TEMPERATURE

    7. Respiratory Status

    DATE TIME RR SPO2

    8. Circulatory Status

    DATE TIME CR BP CAPILLARY


    REFILL

    9. Nutritional Status
    10. Elimination Status

    DATE URINE BOWEL MOVEMENT TOTAL

    11. Sleep, rest and Comfort

    12. Fluid and electrolytes Status

    13. Integumentary Status

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