Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Sullivan D. Guide to clinical documentation, 2nd Ed. Philadelphia: F. A. Davis Company, 2012; Table 7-1, 153.
Not only will these orders reduce discomfort for patient they
will also prevent nursing staff from having to call a prescriber
at 2:00 a.m. to request a sleep aid
These meds would be ordered on a prn basis and are given only
as requested by pt. you always want to include indication for
giving the prn medication
38
THE END
See next slide for links to tools and resources for further study.
39
Tools & resources for further study:
Companion Notes
The “How To” of Clinical Wards Write-ups.pdf, includes:
• Admission H&P
• Admit Orders
• Admit Notes
• Progress Notes
• Procedure Notes
Books
Le T, Bhushan V, Yeh JS. First Aid for the Wards, 5th Ed. New York:
McGraw-Hill, 2013.
McDonough, K. , Larson E. Manual of evidence-based admitting orders
and therapeutics. 5th Ed. Philadelphia: Saunders-Elsevier, 2007.
Sullivan D. Guide to clinical documentation, 2nd Ed. Philadelphia: F. A.
Davis Company, 2012.