NURS 3234 Lecture Notes - Lecture 19: Perspiration, Morphine, Community-Acquired Pneumonia
Document Summary
Change of shift report rn to rn. Change in a patient status rn to md/np. Patient is discharged to a snf (acute/long term) Is universal across the disciplines of healthcare. Identify yourself & unit you are calling from. Identify the patient by name and the reason for your report. Describe your concern- the specific reason you are calling/ reporting. This is adam an rn on n2. The reason i"m calling is that mr. smith in room 225 has become short of breath. His o2 sat is 88% on ra, rr 24, hr 100, bp 92/58 . Overview of the patient"s background: admitting diagnosis, date of admission, prior procedures, current medications, allergies, pertinent laboratory results and other relevant diagnostic results. Mr. smith is a 67 y/o male, admitted from home 2 days ago, with community acquired pneumonia. He has been receiving iv antibiotics, was doing well until now. He is normally cognitively intact and independent with adls.
