Nurse 1: Have you changed Mr. Colby's dressing PRN? Nurse 2: Yes, I have.
Patient: Nurse, my pimple hurts so
much.
Nurse: Yes, I know. The signs and
symptoms of dermatitis were noted by
the physician this morning.
How to write a Nursing Report about Mr. Drill:
Pogotowie Ratunkowe lub Izba Przyjęć to miejsca,
gdzie pielęgniarka ma największy kontakt z pacjentem po wszelkich urazach.
Ph: This patient needs the collar due to the cervical spine injury.
Pt: Nurse, please help me, I've twisted my wrist.
Ph: Nurse, apply the dressing on Mr. Drill's right forearm, please.
RN: Kathy, Mr. Drill should be immobilized for two more days, support a plaster cast with pillows while it's drying.
Ph: The patient's left arm is fractured, you can see the bruises also. Let me order a painkiller PRN.
Pt: Doctor, I'm afraid that this rupture will never heal!
RN: Mr. Drill, be still, I'm applying the plaster cast on your arm.
Ph: Mr. Drill, don't scratch this bulla, you'll make it inflamed!
„Left forearm fractured last night, a plaster cast was applied this a.m., supported With pillows till it's dry. Right wrist twisted. Pt c/o pain, painkiller was ordered PRN, and given twice. Several bruises on left forearm noted. A collar applied due lo spine injury suspicion."
Słówka: „order", „give", „apply" często występują obok siebie. Coś zostało zlewne i podane lub zlecone i zastosowane, np.:
Painkiller was ordered PRN and given twice.
Collar was ordered and applied.
Dressing was applied as ordered.
S/s of right shoulder dislocation noted, plaster cast ordered and applied.
RN: Mr. Drill, how is it going?
Pt: Not so good. I feel so tired and weak.
RN: What is bothering you?
Pt: Many things have happened to me:
I've twisted my wrist, dislocated my shoulder
and broken my leg, and I can't move my neck!
RN: Yes, Mr. Drill, you had a car accident last night and all your body was injured.
Pt: Still, I'm glad I can talk without any pain. Can I move myself in bed?
RN: No, please don't even try to change your position now. You should be immobilized for 2 more hours until the plaster cast is dry.
Pt: Okay, I will try to fall asleep.
RN: Please do. I'll be back in a while.