HINDS COMMUNITY COLLEGE ASSOCIATE DEGREE NURSING NURSING PROCESS TOOL
Dates of Care:
_
Client Room No.
_
Age
Student Name Gender
_
Admit Date
_
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Primary Diagnosis: Reason for Hospitalization/Nursing
Home Placement:
~
_
Other Diagnoses
_
Other Health Problems: Past Surgeries and Dates:
_
Allergies & Type Reaction:
_
Activity Level:
_
DNR:
Advance Directives:
_ Day 25 Day4 Day Day 13
TPR Pain 0 - 10 Intake Output
Discharge / Needs / Referrals to Current health Status Teaching Learning Needs ofRelative Client and/or Primary Caregiver
Home Medications
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X:\Amanda
's X Drive\PCWP\8-Clinical
Tools\Nursing
Process Tool 1119-1229
rev 0503. wpd
_