please help me write a nsg note what should i include in a generic nsg note
Dec 2, '07
At least every two hours I write a note about my patient for example...
"Pt resting quietly in bed watching tv. Resp regular and even with no visible signs of distress. Pt repositioned self for comfort. Pt denies pain or further needs at this time. Emotional support provided. Call light in reach. Will continue to monitor."
That is the most basic of notes I will write. If something is different than normal, I chart it.