Physical assessment checklist -wantedRegister Today!
This is a discussion on Physical assessment checklist -wanted in Nursing Student Assistance, part of Nursing Student ... I'd like to find a checklist for doing my physical assessment. I get most of the data from the...by Pat_Pat RN Apr 5, '07I'd like to find a checklist for doing my physical assessment. I get most of the data from the patient, but when I start to write my narrative chart I leave things out. I'd like to find something with each area (ie Head) then what to look for (pupils, sclera, exudate) with each of those broken down into further check boxes (pupils: Pin-point, PEARRLA, dilated, etc) (sclera: white, yellow, injections, etc.)
Has anyone seen anthing this in depth, or have a link or copy they could post?
Any help would be greatly appreciated.
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- Apr 5, '07 by catlover13Vital SignsHead To Toe Assessment Checklist Client Initials
Scale (1 – 10)
(within 30 minutes)
Pt in bed
Call light within reach
Special equipmentLast edit by catlover13 on Apr 5, '07 : Reason: Tweaked
- Apr 5, '07 by catlover13The above was a combination of several different types of head to toe checklists. This format will fit into 3 columns, with boxes for each section. This is meant to be more of a check list, with ____ next to each entry. I think I even had it set up so you could do a couple of assessments for the same patient, but at different times on the same page.
I printed out one for each patient I had, stapled them together, so I worked with a sheaf of papers, just had to flip to the patient I wanted to see.
There was room at the bottom for info from report, or on the back if you needed extra room.
When I wrote the narrative, I just began at the beginning, and went section by section. Added any other comments as needed, or at the end.
You should be able to copy and paste it, then tweak it into boxes. There will be extra room to write special findings in the boxes too!!!
The formatting did not translate when I copied and pasted.
This form worked well for me, but you'll have to find the one that works best for you.Last edit by catlover13 on Apr 5, '07 : Reason: Tweaked
- Apr 6, '07 by Daytonitepat_pat. . .you are pretty much going to have to make up your own or 5-finger discount one from the various clinical facilities you visit as a student. most facilities are very stingy about sharing the ones they have with others. you can find some of these assessment forms in different care plan books. carpenito's books have them. so do some of the doenges/moorhouse books. there may be others i'm not aware of.
you should check out the weblinks on this thread:
http://allnurses.com/forums/f205/hea...ms-145091.html - health assessment resources, techniques, and forms (in nursing student assistance forum). if i'm not mistaken, some of them have assessment forms on them.
this is a clinical worksheet i've put together for nursing students. the review of systems which takes up 2/3 of the lower page runs through all the major body systems but doesn't list everything you are looking for.
- Attachment 5519 student clinical worksheet