Published Feb 3, 2013
asma6
22 Posts
I have No clue how we make one.
I dont know how to fell this data sheet thingy up! Help!!!!
nurseprnRN, BSN, RN
1 Article; 5,116 Posts
What's a data sheet? Is it for some kind of assignment? How about you describe it or ask the faculty who assigned it?
It's like I have to describe My patients after I finish My clinical work at hospitals and all, you know?
No, I don't know. Do you mean there are blanks to be filled in with data you are supposed to learn from/about your patient in clinical, and you don't know what they mean? What are they?
Dude It's like the age of the patient, sex, occupation and the the physical assessment results like Yeah there are blanks..
dawniepoo
223 Posts
I'm taking a guess this is how you fill it out: Where it says age, you put the age. Where it says sex, you put male or female, etc. There's got to be more to this question right? I hope.
danceyrun
161 Posts
Why don't you ask your clinical instructor?
NICUmiiki, DNP, NP
1,775 Posts
You should ask your instructor what they expect on this data sheet.
People Stop hating on me! Lol now I feel stupid. I just wanna see how It's done, you know?
CT Pixie, BSN, RN
3,723 Posts
Did you really just call GrnTea dude? Really? SHE was only trying to help (she IS a nursing instructor, if anyone can help it is GrnTea).
I'm assuming its a paper you need to fill out with the assessment data you collected on your patient. List it in a head to toe (body system) way. Neuro, head/neck, Cardiac, Respiratory, GI, GU, musculo-skeletal, skin/nails, any IVs tubes etc.
NEURO: Neuro-orientaiton, hand grasps, LOC, PERRLA, etc.
HEAD/NECK: head, eyes, ears, nose, mouth, mucous membrains moist/dry?
RESP: breath sounds, o2 sat, on o2, normal breathing, cough present, sputum, respiration rate?
CARDIAC: cap refill, heart beat (reg/irreg), + pulses (pedal, radial, carotid etc), heart rate, BP
GI: bowel sounds, pain, distention, last BM
GU: urine color, clarity, any odor, bladder distentin pain etc
MS: balance, gait, strength, muscle mass
IV/tubes" any presence of IV's (peripheral or central), tubes (foley, rectal,) drains (JP, etc)
SKIN/NAILS: bruises, dressings, open areas, temp, pallor
Just put all the info you collected on your patient in to the appropriate section.
livRN2012
37 Posts
Hey now, no one can help you if you jump down everyone's throat when they try. We need a little more info on this data sheet to be able to help you. Like a pp said, it's most likely an assessment sheet and you fill it out with patient info. You should have gotten the info from the patient, chart, and your own nursing assessment/things you did that day.
Stephalump
2,723 Posts
Were you assigned to make your own? Or are you just curious what's on it?
Esme posts some excellent brain sheets if they're for your own personal use. I'm sure she'll be along soon enough :)
If you're needed full patient info I'd include all the suggestions about head to toe assessment data as well as a med sheet where you can write drugs, dose, usual dose (to double check for errors in orders) and why the pt is taking the drug.