What facts or pieces of info do you use all of the time

  1. Hi All-
    I was wondering if you could share with me some of the facts or reference tools that you use regularly. I am trying to make my own RN quick notebook. Thank you
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  2. 4 Comments

  3. by   psalm
    A B C !!

    Code status

    Allergies...meds and drugs, environmental, animals

    Diabetes protocol

    MONA protocol

    Labs

    ETOH s/s for all pts., not just ones who come in with overdose

    These are just tip of the ice berg, but you should always know, esp. for new admits regardless of their diagnosis. When I am fully awake I can think of more :spin:
  4. by   weezledawg
    Yep and can they ambulate and what fluids are running? Pain protocol and sleeping issues because I work nights and no one ever wonders to think of that until 1 a.m. and then it's too late...
  5. by   Daytonite
    hi, gwendolyn207, and welcome to allnurses

    you can find information for your notebook by using the weblinks on this thread:
    there are also interesting informational websites listed on the sticky threads (the first threads listed) on the nursing student assistance forum (http://allnurses.com/forums/f205/) and the general nursing student discussion forum (http://allnurses.com/forums/f50/) of allnurses.
  6. by   Danycejw2006
    I agree with the others.

    You can use the SBAR sheet as well.

    Name
    age
    sex
    dx
    surgery
    allergies
    important past medical hx
    Code status
    activity
    IV and IVF
    I &O
    current meds
    pain/reassess

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