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nurses notes outline, Study notes of Nursing

this document is an example of a nurse's notes.

Typology: Study notes

2022/2023

Uploaded on 12/17/2023

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Dane Delion
BSN 3
Nursing notes outline:
1. Review of anatomy and physiology
Major systems & organs involved
Their functions
Free anaphy resource:
Crash course anaphy playlist: https://
bit.ly/3cyVFid
2. Etiology
Causative agents (bacteria, fungi, virus)
Risk factors (lifestyle, fam hx, etc)
3. Pathophysiology
What happens to the organs affected
How does it change their normal functions
Search diagrams, watch YouTube videos
My favorite pathpophysio resources:
armandoh.org / YT: https://bit.ly/
36cb4UE
osmosis.org / Yt: https://bit.ly/
3mUwKKL
Free pathophysio charts: https://
bit.ly/3j8uGMO
4. Clinical manifestations
Signs and symptoms (s/sx)
(ex: nausea, vomiting, diarrhea, etc)
Review the pathophysio & connect how/why these s/
sx occur.
5. diagnostic procedures
Tests conducted to confirm a diagnosis
(Ex: Blood tests, x-rays, cardiac monitoring, and so
on.)
6. Medical management
Need a doctor’s order
Medications
Surgeries
7. Nursing management
Don’t need doctor’s order
examples:
change client’s position
encourage fluid intake
monitor vital signs regularly
monitor for signs of adverse reactions
Nursing interventions resources:
nurseslabs.com
registerednursern.com
Note taking tips:
1. Use abbreviations
Highly rec ommend Learning & using medical
abbreviations
source: https://bit.ly/345Vwz1
But you can create your own— so it’ll help you
understand.
2. Simplify your notes
Use bullet points
Draw diagrams when applicable
Use mnemonics
ex: MoNA for Mi treatment
M- morphine
O- oxygen
N- nitroglycerin
A- aspirin
3. Highlight important info
Lab values
Drug dosages
Adverse reactions
4. REVIEW, REVIEW REVIEW REVIEW REVIEW
ALWAYS REVIEW, INTERNALIZE, AND UNDERSTAND
YOUR NOTES.
5. Look for outside resources to supplement your
learning.
Information is out there! You just need to
learn how to find it.
padayon, future nurse!
— your Nursing ate

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Dane Delion BSN 3

Nursing notes outline:

  1. Review of anatomy and physiology
    • Major systems & organs involved
    • Their functions
    • Free anaphy resource:
      • Crash course anaphy playlist:^ https:// bit.ly/3cyVFid
  2. Etiology
    • Causative agents (bacteria, fungi, virus)
    • Risk factors (lifestyle, fam hx, etc)
  3. Pathophysiology
    • What happens to the organs affected
    • How does it change their normal functions
    • Search diagrams, watch YouTube videos
    • My favorite pathpophysio resources:
      • armandoh.org^ / YT:^ https://bit.ly/ 36cb4UE
      • osmosis.org^ / Yt:^ https://bit.ly/ 3mUwKKL
      • Free pathophysio charts:^ https:// bit.ly/3j8uGMO
  4. Clinical manifestations
    • Signs and symptoms (s/sx)
    • (ex: nausea, vomiting, diarrhea, etc)
    • Review the pathophysio & connect how/why these s/ sx occur.
  5. diagnostic procedures
    • Tests conducted to confirm a diagnosis
    • (Ex: Blood tests, x-rays, cardiac monitoring, and so on.)
  6. Medical management
    • Need a doctor’s order
    • Medications
    • Surgeries
  7. Nursing management
    • Don’t need doctor’s order
    • examples:
      • change client’s position
      • encourage fluid intake
      • monitor vital signs regularly
      • monitor for signs of adverse reactions
      • Nursing interventions resources:
      • nurseslabs.com
      • registerednursern.com

Note taking tips:

1. Use abbreviations

  • Highly recommend Learning & using medical

abbreviations

  • source:^ https://bit.ly/345Vwz
  • But you can create your own— so it’ll help you

understand.

2. Simplify your notes

  • Use bullet points
  • Draw diagrams when applicable
  • Use mnemonics
    • ex: MoNA for Mi treatment
    • M- morphine
    • O-^ oxygen
    • N- nitroglycerin
    • A- aspirin
  1. Highlight important info
  • Lab values
  • Drug dosages
  • Adverse reactions

4. REVIEW, REVIEW REVIEW REVIEW REVIEW

  • ALWAYS REVIEW, INTERNALIZE, AND UNDERSTAND

YOUR NOTES.

5. Look for outside resources to supplement your

learning.

  • Information is out there! You just need to

learn how to find it.

padayon, future nurse!

— your Nursing ate