What facts or pieces of info do you use all of the time

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Specializes in SICU.

Hi All-

I was wondering if you could share with me some of the facts or reference tools that you use regularly. I am trying to make my own RN quick notebook. Thank you:)

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Specializes in Staff nurse.

A B C !!

Code status

Allergies...meds and drugs, environmental, animals

Diabetes protocol

MONA protocol

Labs

ETOH s/s for all pts., not just ones who come in with overdose

These are just tip of the ice berg, but you should always know, esp. for new admits regardless of their diagnosis. When I am fully awake I can think of more

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Specializes in CCRN, ICU, ER, MS, WCC, PICC RN.

Yep and can they ambulate and what fluids are running? Pain protocol and sleeping issues because I work nights and no one ever wonders to think of that until 1 a.m. and then it's too late...

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Specializes in med/surg, telemetry, IV therapy, mgmt.

hi, gwendolyn207, and welcome to allnurses :welcome:

you can find information for your notebook by using the weblinks on this thread:

there are also interesting informational websites listed on the sticky threads (the first threads listed) on the nursing student assistance forum (https://allnurses.com/forums/f205/) and the general nursing student discussion forum (https://allnurses.com/forums/f50/) of allnurses.

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I agree with the others.

You can use the SBAR sheet as well.

Name

age

sex

dx

surgery

allergies

important past medical hx

Code status

activity

IV and IVF

I &O

current meds

pain/reassess

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