Blog Document Vital signs 
Nurse.com
APRIL 18, 2023
According to the American Nurses Association (ANA), clear and accurate documentation is essential for safe, quality, evidence-based nursing practice. This applies across settings, for registered and advanced practice nurses alike, according to ANA’s Principles for Nursing Documentation Guidance for Registered Nurses.
Daily Nurse
JANUARY 24, 2025
They also provide nursing care that involves assessing a patient for side effects and documenting medications or vital signs in their medical records. An infusion nurse, or IV nurse, administers all types of IV fluids , including medication and vitamins, into a patient’s bloodstream.
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Nurse.com
OCTOBER 26, 2023
And the following critical components are assessed: General: Complete an overall survey of the patient, including body habitus, hygiene, body odor, mood, and vital signs. This stems from more focus being given to vital signs and the use of machines to monitor a patient’s status. Measure weight and height. Calculate BMI.
Minority Nurse
NOVEMBER 14, 2022
In many diagnosis-related closed claims, a lack of sound documentation supporting the decision-making process of the treating NP or other staff members under the NP’s supervision hindered the case’s legal defense. Common missing or incomplete documentation noted in the dataset included: Lack of a complete patient and family history.
Nurse.com
OCTOBER 12, 2022
For example, if a returning patient has their vital signs taken and an abnormality is detected, such as a low heart rate, healthcare staff members can compare this piece of data to the information compiled in their record. The post Nursing Informatics: Vital to the Profession appeared first on Nurse.com Blog.
Nurse.com
APRIL 23, 2023
Document everything One vital strategy nurses can leverage to protect themselves is through detailed documentation. The nurse documented her interactions with the patient and staff, including requests for help from physicians and hospital management. Despite her efforts, she reportedly received little help.
Nurse.com
DECEMBER 19, 2023
How to help yourself Eight patients needing around-the-clock pain management, numerous antibiotics to hang on time, monitoring labs and vital signs, updating care plans, and documenting. The post The Rise in Nurse Suicides: Signs, Stigmas, and Prevention appeared first on Nurse.com Blog. Change of shift code blue.
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