Clinical Forms

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Weekly Schedules:
Level 1
Level 2
Level 3

Clinical Forms

Instructor Web Sites:
Rosemary Pullin
Denise Kampfhenkel
Debbie Shaw
Peggy Crate

Schreiner One

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VN Admission Home Page

Schreiner University Home Page

 

 

 

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It's a good idea to do it several times a week.  

        

Weekly Clinical Papers and Forms
 

 Level 1 only

Forms for Folder

Patient Data Base

Textbook Research
Corrected March 12, 2008

Anticipated Schedule

Diagnostic Tests
Revised January 26, 2009
to correspond with the NEW Level 2 & 3

Assessment Sheet
Revised 2008-04-03

Communication Sheet PR

Communication Sheet VA

Link for Level 1 Only Page of Forms

Additional Forms
ALL Levels

Assessment Guideline Worksheet
posted 2008-03-31

Text Research - Approved Topics
Revised 10-2007

BMI: Formula & Chart Links

Special Rotation Objectives Level 2

Special Rotation Evaluations
Color version logo

Updated 10/10/2009

Special Rotation Evaluation
Gray scale logo

Updated 10/10/2009

Medications Difficult to Find

 

 

 Level 2 - Level 3

Forms for Folder

Patient Data Base

Patient Data Base - Med Adm & Charge Nurse Assignment

Textbook Research
Corrected March 12, 2008

Diagnostic Tests
Revised August 27, 2009

Medication List
Revised August 24, 2009

PIM Card Example with Instructions
Revised November 4, 2009

Assessment Sheet
Revised 2008-04-03

Problem List
Revised  2009-03-24

Nursing Care Plan
11-2005

Nursing Care Plan-lined
06-2009
Let me know how you like it.  Mrs. K.
Please do not darken the lines before printing.
 

 Level 2 at Plaza or River Hills

Patient Data Base - Med Adm Assignment

Nursing Diagnosis List
Put in the brads in your folder between the Text Research List and Clinical Experience Record in Level 2.
 

Order of the forms in brads:

  • Text Research List

  • Nursing Diagnosis List/PIM Card List

  • Clinical Experience Record

    Special Rotation Objectives for Plaza are below. 

Other clinical papers and information:

Assessment Guideline Worksheet
posted 2008-03-31

Text Research - Approved Topics
Revised 05-2008

BMI: Formula & Chart Links

Generic Drug Name-Find

Diet Rationale Example & Explanation

Medications Difficult to Find

Diagnostic Test Explanation & Example

The Nursing Process-Guideline Sheet

Level 2 Papers Due - in Table Format  Revised 2009-05

Problem List Example and Explanation

Nursing Care Plan Explanation revised 2005-07

Nursing Care Plan Example from 12/15/05

Hepatitis Clinic Rotation Papers

JACHO "Do Not Use List" - Information

JACHO "Do Not Use List" - Official List

PRMC "Do Not Use List"

Hospital "Never Events"

Medicare List of "Never Events"

 

Plaza on the River & River Hills:

Charge Nurse Rotation
Medication Administration
(See Schreiner One - VONR 1301 Care of the Adult Patient I
for the most current version of these clinical objective sheets.)

 

SPECIAL ROTATION OBJECTIVES

VAMC:

Dermatology Clinic
Hepatitis Clinic
Home Based Primary Care
Neurology Clinic 
Nuclear Medicine Rotation
 
Primary Care Teams

PRMC:

Home Health Rotation Level 2
05-2009

Level 3 Clinical Objectives for Specialty Rotations
08-2008

Special Rotation Evaluations
Color version logo

Updated 10/10/2009

Special Rotation Evaluation
Gray scale logo

Updated 10/10/2009

 

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Level 1 Only