Nurse Notes HELP!!

Nurses New Nurse


I'm a new fresh nurse on training. English is not my first language, and I am having difficulties to write notes such as admission or discharge notes. 

Someone could help me by giving me ideas to how start,  on what I need to focus on (assessment, interventions, etc) and how ends.

In my facility, notes are usually  write when something uncommon occurs to avoid double charting, and short notes for asmission and discharge.


Please, help me.


I'm on my 5th day of training, I feel I know nothing, what makes me feel frustrated and anxious.



You are right. Writing notes can be tough. Try breaking down your notes by focusing on each body system can provide a structured and organized approach. Starting with neuro, then moving through respiratory, cardiac, gastrointestinal, and so on, can help streamline your study process and enhance comprehension. Hope this helps! 

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