Published Mar 20, 2006
fangelam
1 Post
what 4 thing should be verbally reported to the nurse or other memebers of the health care teamwhen telling him/her informatiom about the patient?
JR816, BSN, RN
224 Posts
I'm new at this.....so here's my guess. Patient history and dx, vital's and lab values, med's and competency level. What do ya think??
stn2003, RN
132 Posts
lol only four?
Recent Vitals
Abnormal assessment findings/labs--->any follow up
Allergies
Code Status
traumaRUs, MSN, APRN
88 Articles; 21,268 Posts
Name
Reason for being in the hospital
Level of consciousness
LPN1974, LPN
879 Posts
Also....this could depend on the situation and who is doing the reporting......
Could it be family doing the reporting or could it be ED staff reporting to floor staff or one nurse to another during shift change?
Or it could even be the patient him/herself and/or family reporting to an ambulance/paramedic crew.
I was recently taken to the ED by ambulance and was asked alot of questions......so I did some reporting myself.
Some questions I was asked were name, did I hit my head, am I hurting anywhere besides the arm, my age, allergies, menstrual history, and many more questions, but I think those were some of the very first.
CoffeeRTC, BSN, RN
3,734 Posts
This is what I want to know in LTC
Name, current dx (why are they here), LOC, Pills whole or crushed (swallow difficulties). Then I might ask about last pain med for certain res/ dx. I will also aske...any IVS or weird treatments/ times.
Of course this is sooooo different because I'm in LTC, but since I only work a few shifts a month, things change and the pts are different every time I work.
RN4NICU, LPN, LVN
1,711 Posts
This sounds like a homework or a test question. What does your instructor &/or textbook say?
PamUK
149 Posts
Wouldn't a nursing assessment and plan of nursing care be the first thing you would want to report?
But it depends on WHO is doing the reporting.
Family wouldn't necessarily know what would be in a nursing assessment or a care plan.
I think it sounds like a trick question.
But it depends on WHO is doing the reporting. Family wouldn't necessarily know what would be in a nursing assessment or a care plan.I think it sounds like a trick question.
Apologies, just read the posting properly!! "What should be reported TO the nurse or healthcare team..."
In that case, if it is the patient or their family giving information, then the healthcare professional should be able ask appropriate questions in order to elicit the relevant information... if that is what fangelam is asking. There are no four things that MUST be reported in every case. Each case is different
If it is a nurse giving information to other nurses, I refer to my previous statement.
Maybe fangelam could be explicit?
Apologies, just read the posting properly!! "What should be reported TO the nurse or healthcare team..."In that case, if it is the patient or their family giving information, then the healthcare professional should be able ask appropriate questions in order to elicit the relevant information... if that is what fangelam is asking. There are no four things that MUST be reported in every case. Each case is differentIf it is a nurse giving information to other nurses, I refer to my previous statement.Maybe fangelam could be explicit?
...Agree with your assessment of this question.