Page 31 - INTRODUCTION OF NURSING 1.4 The Nursing Process (PART 3)

Admission note

• Receiving/admission notes are based on a patient’s initial assessment at ahealthcare

facility.

• In this case, the nurse collects first-hand information that s/he notes down and passes on
to other nurses or physicians.

• Receiving/admission notes should include

➢Patient’s history, general appearance, physical examination and vital signs completed
at the time of admission

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