PT age, dx, gender,
surgery & post op day,
living situation including stairs and care persons, level of independence
Medications
Prn's
Routine
Nursing Process
give students feedback
NSG diagnosis r/t (condition) aed (data)
Evaluation on your shift
(goal met partially or completely)
3 Nursing Interventions
Goal or Outcome
Assessment
Data
Cultural considerations
Chart
Mobility
Subjective
Objective
Labs/diagnostic tests
short sentences
short words
tree-like
information branches out from center to sides
growing, organized structure with key concepts and key images
References (APA format)
(article summary on separate document)