Problem-focused narrative nursing note

.narrative_note

Data:
patient reported or nurse assessed needs


Actions: I called Dr.
name
on Month: 01/Day: 01/Year: 2001 at Hour: 1 (1-12):Minute: 01 AM/PM to
report/request orders
for patient
name
,
unit or floor in facility
,
diagnosis
. The patient is complaining of
symptoms


Response:
orders received
actions taken on orders
patient response to orders/treatments
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