Keeping the Records—It is a good plan to write out the physician’s orders on paper, for instance:

   The hours must be checked off as they are filled. If the orders keep about the same, the paper will last two days by checking the opposite way on the second day.

   The day or night Report will run somewhat as follows:

   Another favorite way is to rule a sheet of paper, leaving spaces for the hour, temperature, pulse, respiration, nourishment, stimulants, medicine, sleep, and remarks. For instance:

   These twenty-four-hour charts, or records, are very useful for operative cases in which the treatment is continually changing. The report should be made out and ready for the physician, and everything that has happened since his last visit should be written clearly and definitely; also what the nurse has done. This detailed report will save questioning in the presence of the patient.

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This entry was posted on Wednesday, April 2nd, 2008 at 2:25 pm.
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