NU 6541 WK 3 SOAP -Main Care
NU 6541 WK 3 SOAP -Main Care of Adolescents and Youngsters
Week 3 SOAP note- Comply with up Analysis
Affected person Initials: ___AH____ Age: ___12____
Gender: ___F____
SUBJECTIVE DATA:
Chief Grievance (CC): Episodes of altered psychological standing, observe
up from latest hospitalization
Historical past of Current Sickness (HPI): 12-year-old African American
feminine dropped at clinic with mom for observe up analysis after
hospitalization. Two days prior, affected person was in school with she
turned altered and had episodes of jerking actions. …
Medicines:
…
Imipramine 25mg PO PRN- Mom experiences that she often
takes that is she drinks so much previous to mattress. Final dose was 1 week
previous to occasion occurring.
Trazodone PRN
Allergic reactions: NKDA
Previous Medical Historical past (PMH):
National Patient Safety Goals in Nursing Practice
The National Patient Safety Goals Template Nursing Specialty My nursing specialty is Medical-Surgical/Telemetry nursing within an acute care hospital setting. Chapter The appropriate NPSG Chapter for my area of practice is Hospital. NPSG 1 Year: 2023 Name and Number: Identify patients correctly (NPSG.01.01.01) Description: This goal emphasizes the crucial need for two patient identifiers (e.g., […]