Published Mar 4, 2011
72 members have participated
cjcsoon2bnp, MSN, RN, NP
7 Articles; 1,156 Posts
Hey everyone,
So a few months back I started scouring these boards for a assessment worksheet or head-to-toe assessment guide that I could use to help me with my charting in clinical, something that could help me organize my thoughts and become better at charting all of my assessments. So after looking at quite a few different worksheets that people have submitted on this website and on the web in general I have decided to come up with my own. Finally after weeks of working on it in my spare time I think I am done with it and now I want to see what nursing students, nurses and nursing instructors think about it. I want to make it clear that it is not meant to replace charting your assessments but more serve as a guide to help nursing students organize their thoughts and make sure that they have their bases covered so to speak. Plus I think they are helpful to make sure you have all of your findings for when you submit your careplans and patient preps to your instructors (if your school has you do that). So please feel free to download it, take a look at it and certainly use it if you think it is helpful. Please let me know what you think about it and any suggestions to improve it. It may seem obvious but just in case it isn't, anything that has a blank space for you to fill in then write it in and circle any of the findings that apply to your patient.
!Chris
genassess[2].pdf
courtney.2009
9 Posts
This is excellent. Thanks so much for doing this. I'm going to try it out on my next clinical. :)
That's great! Please do try it out and let me know what you think.
digitiminimi
114 Posts
This is AWESOME
I'm so glad to hear that people like it. My girlfriend (also a nursing student) thinks that I am a total geek for even doing this but I figured that I know how much I struggled in my first clinicals trying to figure all this stuff out (not in the nursing home ones but in the hospital clinicals) and so other students must have some trouble too plus I felt like I have gotten better at my assessments just by making the sheet. I'm going to put it as part of my educational portfolio too, who knows what it might be useful for in the future lol
kh321
96 Posts
Thank you so much for this! It is really well put together. I think it will really help me improve my assessments as well. Thank you again!! :)
anashenwrath, ASN, RN
221 Posts
just another thank you from a student! there are so many forms out there and some of them are insanely long or impractical. this is a good, strong, basic form!
skimpstah
90 Posts
KUDOS x 10000
PinkNBlue, BSN, RN
419 Posts
Holy cow, that is WONDERFUL. Thank you so much.
Corlee
34 Posts
This is awesome, I wish I had had it back during my first clinicals!! I think all freshman students or first semester students just starting clinicals should give it a try. Our school has something similar to this for the 1st semester in the form of a 12 page packet you had to fill out...now we are charting for real...Just so everyone knows the more you do it the easier it gets!!
DayDreamin ER CRNP
640 Posts
meh..... its alright.
Seriously, this is the BOMBDIGGITY! If that makes you a geek, well.... I guess I love geeks then. This is really a great assessment sheet.
I am precepting in the ER and I was just thinking the other day that an assessment sheet would be a huge help. I am going to print this out and give it a test drive next time I'm there. It is a GREAT sheet but I may want to add a few things to it for ER purposes so I may have to email you with questions.
Great job and hugs for helping me look good!
meredith
rbarker
3 Posts
Sooooo kewl!! our instructors gave us a generic and very non specific assessment sheet that pales in comparison to this one! I am printing copies for clinicals today i am sure everyone would MUCH rather use these THANKS AGAIN!