Free printable nursing assessment sheets
[DOCX File]FULL ASAM ASSESSMENT - ADULT
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Amy has a 5 yr history of opioid use, beginning with prescription opioids and progressing to mixed prescription and heroin use. She has attempted multiple programs to try and manage her use and despite these attempts and escalating harmful consequences (loss of employment and independent housing), she continues to use.
“CHEAT” SHEETS FOR MENTAL HEALTH WORKERS
“cheat” sheets for mental health workers. short-hand for documentation in files (page 2) psychiatrist’s “short”symptom list by dsm-iv-tr category (page 3-4) “typical” medications used by dsm-iv-tr category – 2/07 (page 5) short-hand for documentation in .
[DOC File]Nursing Care Plan 18-1
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CMHC ASSESSMENT: JB is a 19-year-old with a diagnosis of schizophrenia, catatonic type, discharged from an inpatient unit. Hears voices (telling him “you have the power”) and has some delusional thinking (believes people are stealing his thoughts). He is oriented, coherent, and able to complete basic mathematical calculations.
[DOC File]Medical-Surgical Skill Checklist
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Clinical Skills Self-Assessment Checklist. Name: _____ This skills checklist is meant to be a self-assessment guide for you. Determine approximately when you last performed some, if not all of these skills in a nursing clinical position. If you are satisfied with your skill performance for the skills listed below please indicate.
[DOC File]Medication Administration Record (MAR)
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MO/YR: Start/Stop Date Facility Name: Medication Hour 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
[DOC File]Nursing Care Plan Form
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Nursing Diagnosis (use PES/PE format): Assessment Data (Include at least three-five subjective and/or objective pieces of data that lead to the nursing diagnosis) Goals & Outcome (Two statements are required for each nursing diagnosis. Must be Patient and/or family focused; measurable; time-specific; and reasonable.) Nursing Interventions
[DOC File]Review of Systems (ROS) Assessment Guide - Nursing Professor
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Title: Review of Systems (ROS) Assessment Guide Author: Seton Hall University Last modified by: Pat Camillo Created Date: 8/4/2012 7:58:00 PM Company
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