Progress Notes - Figure 3.8

Review the following chart entry. Then rewrite the entry using the guidelines for documentation explained on page 81 in your textbook.

Nurse's Progress Notes

Date Time Nursing Care Notes
12/16/15 1230 This crabby patient didn't eat any of her breakfast lunch.
     
12/16/15 1500 She is such a complainer—like her ankle is always hurting!
    Her vital signs are OK
     
    Susie Smith

Nurse's Progress Notes

Date Time Nursing Care Notes