head to toe assessment tick sheets

[mathew]

does anyone have a head to toe assessment tick sheet? i'd like to review my nursing skills and keep up to date.

[Nitengale326]

OUr sheets just go by systems...neuro, Cardio, resp, GI, GU, skin, MS, and psych. We have room on the back for incidentals, on the front is the safety stuff... siderails, call bell blah blah blah... then hygiene, skin care, elimination, equipment, nutrition, activity/mobility. We hate it... its too gen'l and our Clin spec is working on changing that for us. Good luck in your search.

wanda

[nursebedlam]

Never actually seen a "head to toe" form as such. Where I work is a "Health Summary" form Which contains, Patient's name, address, Dob, next of kin, pension/medicare/insurance numbers, allergys, immunisations given & not given, patient's parents basic info reguarding Asthma, heart disease, cancers, hypertension and diabeties. Then social history if live alone ect, patient's smoking and alcohol status, nutritional status, mobility status, infectious deseases status, height, weight, temp, BP, medications, past history and the presenting problem.

[SmilingBluEyes]

We have a head-to-toe by systems shift assessment sheet on which we chart by exception (a check means within normal limits). If something is not normal, we are to chart narratively on the nurse's notes.