Clinical Worksheet Plan of Care Concept Map Pharm4Fun Worksheet: 1 per medication ISBAR Worksheet

profilehanna kirugu
Clinicalworksheet1.docx

Initials:

Age:

M/F

Code Status:

Diagnosis:

Length of stay:

Allergies:

HCP:

Consults:

Isolation:

Fall Risk:

Transfer:

IV Type:

Location:

Fluid/Rate

Critical Labs:

Other Services:

Consults Needed:

Date: Student name: Assigned vSim:

Why is your patient in the hospital (use own words and include the HX: of present illness

Health history/Comorbities (that relates to the hospitalization:

Shift Goals/ Patient Education Needs

1.)

2.)

3.)

4.)

Path to discharge:

Path to death or injury: