I'm a student nurse & need help with documentation of a head to toe assessment. Can anyone help me ???
958897
Here's an example of a healthy person's assessment. My rule of thumb is start at the head and cover each system.\n\nPt. appears stated age, well-groomed, no body odor. Alert and orientedx3. Conversation clear and appropriate. No headache. Eyes clear, no redness, swelling or discharge. External ocular muscles intact. No double vision or blurred vision noted. Gross auditory function intact; pt. responds appropriately to questions. Mucous membranes moist. S1 and S2 auscultated, no S3 or S4 noted.  No murmur. Pulse 72, regular at left radial. Peripheral pulses present, equal bilaterally and strong. BP 116/72. Skin pink, warm and dry. Resps. easy, effortless, quiet. No discharge from nose, no cough. Lungs auscultated, clear to bases. Bowel sounds auscultated to all 4 quadrants. Last BM this AM, soft, brown, formed. No nausea or vomiting. No pain on palpation of abdomen. No pain, urgency, or frequency of voiding noted. Urine is clear, yellow, no foul odor. Functional range of motion, no swelling or redness of joints. Pt. is pleasant, no voiced concerns.\n\nThis is more thorough than you usually see in practice, and there are abbreviations to make it shorter, but it's good practice to know what all goes into an assessment. Just write what you saw, heard, felt, smelled, and also what you didn't see. That way, it's known that something wasn't there, not just that you didn't look for it. Good luck, we nurses have to stick together!
642915
http://www.aorn.org\nhttp://ast.org\nhttp://www.codman.com/generalinstr.asp\n\nIf you go to the surgical Theater ask to see if they have any old order books. They may be one or two that is out of date. I am form the US and have been a OR nurse for 16 years feel free to email me if I can help. You must be from England.(The Theater)
336170
You can visit this site, for material - and use them to write your thesis :\nhttp://www.minurses.org/prac/snl/contpatientcare.shtml\nThe Michigan Nurses Association, a professional association for all registered nurses in Michigan, helps student nurses learn about contributing to society.
491246
hmmm!\nHow about these two sites for you>>>\n PROCESS IMPROVEMENTFile Format: Microsoft Word - View as HTML\nThere are things happening in healthcare that we never dreamed of years ago. ... If you doubt this, then help the folks in Patient Accounting explain a bill ...\nwww.shsweb.org/resources/tools/TQM_Textbook.doc - Similar pages \n\n\n[PDF] Health Information Security & Privacy Collaboration (HISPC) RFPFile Format: PDF/Adobe Acrobat - View as HTML\nSubcontractor Cost Accounting Standards Notices and Certifications (No Change) ... The Technical Proposal shall clearly describe the approach, process, ...\nwww.rti.org/files/HISPC_RFP_Amend1.pdf - Similar pages
87976
I work in a Medical Records department at a hospital and I've worked with a couple of people that went on to nursing or other medical or clerical work. Other departments there also may hire without experience. A knowledge of Medical Terminology, Anatomy & Physiology & Computers may help, but are not always required.  At our hospital there are doctor's offices that are owned by the hospital. Perhaps something like this setting would help you get your experience and also your foot in the door to other job openings. Good Luck!
1132533
According to HIPAA, you are obligated to receive a copy of the psychological evaluation, but maybe not the raw data.  Ask her to set up an informing appointment and have her go over the results of the evaluation, face-to-face.  This way, you can ask any questions about the evaluation.  \nThis is standard practice for non-court mandated evaluations.  \nI may not be totally correct, so contact the California Office of HIPAA implementation.
203514
http://www.tea.state.tx.us/student.assessment/taks/booklets/
281906
I would contact the state board of nursing for the state you want to practice in. They should be able to advise you what is needed.
167304
well i think you should start by going onto some US hospital websites.\n\nhave a look there. there are are normally staff contact lists and stuff like that, giving details of tel numbers, email addresses etc..\n\nhope that helps
58083
Visit your states web site there should be information there. Also visit your local Health and Human Services office they will talk to you and usually have writen info that you can take in the office.
523258
I will pass on some advice I was given just a few years ago when I went to nursing school and had children in aprox. the same grades:  Chef Boyardee and Franco American are fantastic cooks!!!  Believe me, my kids hate the stuff now but we existed on it for the 2 years I was in the program. You will NEED to set up some time for yourself to study. What I did was set a bedtime 7:30 and all the time up until that was for me and the kids. After they went to bed I cracked my books, sometimes I could crack them while they were up but I never retained what I read. Don't be afraid to ask for help is also very important. Kentucky had some childcare grants---FREE that allowed me to afford childcare for those times when school was cancelled or had a half day. You can get some tips by getting in contact with the nursing dept. at the school you plan on attending and find out if such a program exists in your state. You are also better off getting the basic req.s out of the way first. You won't have time if they throw in some community service or clinicals after class. The hours are never what they tell you they are going to be. I also used multi colored pens to rewrite my notes at the end of the day so that important info stuck out.
878907
I am currently taking Bookkeeping and have only finished one test but I did miserably on it and am looking for help too.... maybe we can help each other?
739354
Send it into the Journal of Forensic Nursing or the Emergency Nursing Journal. \n\nhttp://journals.elsevierhealth.com/periodicals/ymen\n\nhttp://www.medscape.com/viewpublication/1244_index\n\nGood Luck!
433516
you should write High School Graduate and curently second year BS Nursing student...that is what they told me :)
1037513
go to www.dora.state.co.us/nursing/\nthe website tells you step by step what to do. depending on when you move up there, MAKE SURE YOU KEEP ALL OF YOUR SCHOOL STUFF: transcripts, college syllabus, everything;which in turn save you a lot of headache and stress!
274063
Ahhh the nightmare that is letters of application - I know it well!  I, too, have gone over mine a million times but am more than happy to share what I'm doing (not that I've had much success at the moment)!  \n\nI had a chat with my tutor and she said to organise it so you are demonstrating your priorities.  So mine starts with "Class Organisation" - where I've discussed my classroom ethos, the guidelines I set, and relationships I establish within the class.\n\nNext up for me is "Current policy", where I talk about government initiatives I think are relevant (I focus on Excellence and Enjoyment).  Then "Assessment" - progression of students and self-assessment mainly.  Followed by "School Relationships" - management styles, skill sharing, communication, etc.  Next up is "Use of Resources" (self-explanatory, lots of focus on ICT).  \n\nI then move on to "Subject Specialism" - what I teach best and an example.  Next is "Career Progression" - how I plan to improve.  And end with a section on my hobbies and interests and how I could include them in eg extracurricular activities.\n\nOne tutor recommended basically using the person specification for the headings, that way you can be sure you have included everything they've asked for.\n\nBest of luck.
1101158
Why the hell are you posting this here?  Remove your post ASAP and contact either your doctor or the location where you had the exam done.\n\nPosting your roll (which I assume is enrollment) number here could allow someone to access your medical records.