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120 unit 2 | Working Within the Organization CikguOnline
Nurse/Team _____________________________________________DNR 8607/Code 99
Patient Room # ______ Name _________________ Age________________________
Allergies_______________________________________________________________
Diagnosis______________________________________________________________
Diet _________Fluids: PO __________IV__________ Type _____________________
Restrictions: BR _______ BRP ______OOB/Chair______ Ambulate with assist______
Activity ________________________________________________________________
Assessment____________________________________________________________
Treatments
1. ____________________________________________________________________
2. ____________________________________________________________________
3. ____________________________________________________________________
4. ____________________________________________________________________
5. ____________________________________________________________________
Monitor
1. Vital signs: Temp _____ Pulse_______AHR______ BP______Parameters ________
2. Cardiac Monitor: Rhythm_____________________ Rate ______________________
3. Neurologic Status _____________________________________________________
4. CMS: __________________________ Traction:______________________________
Figure 9.1 Personalized patient worksheet.
Safe Delegation publication Issues (1995),the NCSBN again presented
this definition. Likewise, the ANA Code for Nurses
In 1990 the NCSBN adopted a definition of delega- (1985) stated, “The nurse exercises informed judg-
tion,stating that delegation is “transferring to a com- ment and uses individual competence and qualifica-
petent individual the authority to perform a selected tions as criteria in seeking consultation, accepting
nursing task in a selected situation” (p. 1). In its responsibilities, and delegating nursing activities to

