Telling you how to talk to a doctor
Allowing you to type your shift report
Organizing patient information to report in a concise manner
Delivering patient information without needing to assess
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The patients history
The patients current problem
Your frustration with your assignment
What you would like to physician to order
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Have the patients information, history, assessment and your preferred orders
Know only the patients name and vital signs
Tell them to look in the EMR for current patient data
Ask them come assess their patient
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Mr. Jones walked today independently on 2L NC
Mrs. Jones spent the day with Mr. Jones and just left an hour ago
Mr. Jones is in room 4802 and is complaining of dyspnea
Mr. Jones has a respiratory rate of 32 and his SPo2 is 88% on 6L NC
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He is retired after working 40 years at a local auto plant
A history of COPD and uses home O2 at 2L NC
Mr. Jones had an appendectomy 30 years ago
His current ordered diet is low sodium
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