I just read this entire thread, and I am sorry you were fired, but I commend you on being able to speak 4 languages. With that being said, you do need to take a course to brush up your english, so that you can be more understood.
For your assessment above..heres what I am reading and what I feel should be changed..
Patients vitals Within normal limits (this is ok, as long as the vital signs are charted somewhere else)
Breath sounds clear (again, this works, until you keep reading..)
something is soft and symmetry(is this the abdomen? If so, Bowel sounds present x4quadrants, abdomen soft, symmetric, or nondistended.).
Lung sounds (or left side), clear bilaterally?? If its just the left side, it cannot be clear bilaterally (which means both sides). And, we already charted lung sounds above with breath sounds..so this is a repeat and not very clear..
Skin WNL ( this works, but would be better to chart skin with no signs of redness or breakdown. )
Maintained patient safety (how did you maintain patient safety. How about, side rails up, call bell within reach, encouraged to call nurse with any questions or concerns?)
Does that make sense to you? It would be a better way of charting what you were charting, so that you have covered the information you were hoping to chart, but in a clear and concise way.
I wish you luck with your english! Just keep practicing and soon you will understand the words much better :)