Description
Please review sample below: ___________________________________________________________________________________ Date/TimeFocusNotes Jan 3 0900 Pain D Patient complaining of abdomen pain of 8/10 in upper right abdomen. Pain described as throbbing and persistent. A Morphine 3 mgm given IV—————————————— 0930 Pain R Patient stated pain has decreased to 4/10———————- 1240 Appetite D Patient’s appetite poor. Refusing lunch. Drinking some clear fluids. Denies nausea.————————————————- Documentation Assignment Write a half page of nursing documentation using the focus charting format. The content can be as creative as you wish.The mark for this assignment will be satisfactory/unsatisfactory. If you receive an unsatisfactory you will be asked to re-submit your charting sample. Please submit the assignment under the assignment icon.
Unformatted Attachment Preview
DATE
Dec 14
HOUR
0800
FOCUS
&
DISCIPLINE
Nausea & Vomiting
D
A
R
P
D
= DATA
=ACTION
=RESPONSE
=PLAN
NOTES
Patient states “my stomach is so upset, I have
been throwing up”.
0830
A
Administered IV Prochlorprerazine 10mg
R
Patient states “I feel better I can drink liquid
now”
DATE
HOUR
FOCUS
&
DISCIPLINE
D
A
R
P
= DATA
=ACTION
=RESPONSE
=PLAN
NOTES
Purchase answer to see full
attachment
