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6174/6175/6176/6177/64402080/2100E REVISED: MARCH 2017 PAGE 1 OF 3POSITION DESCRIPTION DEPARTMENT:Nursing (MedicalSurgical, Acute Physical Rehab and In House Observation Unit)TITLE:RN BSN (Nonexempt)REPORTS
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How to fill out nursing medical-surgical acute physical

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Step 1: Gather all necessary information and documentation related to the patient's medical-surgical condition.
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Step 2: Begin by documenting the patient's demographic information, including name, age, and gender.
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Step 3: Record the patient's medical history, including any pre-existing conditions, surgeries, allergies, or medications they are currently taking.
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Step 4: Perform a comprehensive physical assessment, documenting any abnormalities or pertinent findings.
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Step 5: Note any acute physical symptoms or complaints the patient is experiencing and their severity.
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Step 6: Document any diagnostic tests or procedures that have been ordered or completed, along with the results.
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Step 7: Record the patient's vital signs, such as blood pressure, heart rate, respiratory rate, and temperature.
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Step 8: Ensure accurate and timely documentation of any nursing interventions performed, medications administered, and treatments provided.
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Step 9: Continuously monitor and reassess the patient's physical condition, documenting any changes or improvements.
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Step 10: Complete the medical-surgical acute physical form by summarizing the overall assessment findings and outlining the plan of care for the patient.

Who needs nursing medical-surgical acute physical?

01
The nursing medical-surgical acute physical is needed by healthcare professionals, specifically nurses, who are responsible for assessing, documenting, and providing care for patients with acute medical-surgical conditions.
02
This form is typically used in hospitals, clinics, and other healthcare settings where patients with acute physical health issues require thorough and accurate assessment and documentation.
03
Patients who are admitted with conditions such as postoperative complications, acute infections, respiratory distress, cardiac events, or other acute medical-surgical issues would benefit from a nursing medical-surgical acute physical.
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Nursing medical-surgical acute physical refers to the assessment and care provided by nurses in a medical-surgical setting for patients with acute physical health issues.
Registered nurses and other healthcare professionals who are responsible for the care of patients in a medical-surgical setting are required to file nursing medical-surgical acute physical.
Nursing medical-surgical acute physical forms are typically filled out by documenting the patient's vital signs, symptoms, medications, treatments, and any other important information related to their condition.
The purpose of nursing medical-surgical acute physical is to monitor and assess the physical health status of patients in a medical-surgical setting in order to provide appropriate and timely care.
Information that must be reported on nursing medical-surgical acute physical includes patient vital signs, symptoms, medications, treatments, and any changes in the patient's condition.
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