Name : ID Date 1) 2) Time Weekly Log ( ) Objectives Activities Activities Initials:..... Brief Description of the Case age: Chief complaint:.. Confirm medical diagnosis:... Past medical and surgical history:.. Vital sign: Abnormal lab test: Abnormal physical exam: One nursing diagnosis and goal: gender:

Essentials Health Info Management Principles/Practices
4th Edition
ISBN:9780357191651
Author:Bowie
Publisher:Bowie
Chapter6: Patient Record Documentation Guidelines: Inpatient, Outpatient, And Physician Office
Section6.4: Hospital Outpatient Records
Problem 8E
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pediatric, Fill out the form for any case of any child suffering from bronchitis.

 

Note that the required is any case, and It is not necessary for the case to have happened in reality to a specific person you know. You can only answer on the basis that it is a hypothetical case. This means, as an example only, to ignore personal information if you want, such as a serial number, the child’s name, etc.

Name
:
ID
Date
1)
2)
Time
Weekly Log ( )
Objectives
Activities
Activities
Transcribed Image Text:Name : ID Date 1) 2) Time Weekly Log ( ) Objectives Activities Activities
Initials:.....
Brief Description of the Case
age:
Chief complaint:..
Confirm medical diagnosis:...
Past medical and surgical history:..
Vital sign:
Abnormal lab test:
Abnormal physical exam:
One nursing diagnosis and goal:
gender:
Transcribed Image Text:Initials:..... Brief Description of the Case age: Chief complaint:.. Confirm medical diagnosis:... Past medical and surgical history:.. Vital sign: Abnormal lab test: Abnormal physical exam: One nursing diagnosis and goal: gender:
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