1. Practicum Health Science I 2011 - 2012

2.  Outline Chapter 4: Communicating with the Health Team – Mosby’s Textbook for Nursing Assistants  Complete Worksheet: Communicating with the Health Team.  Review Power Points: Interviewing and the Health History, Communication and Health Care Provider Relationship, and Physical Examination and History Taking

3.  All information must be fictional.  Must be put together like a hospital chart.  Must have dividers for the sections of the chart. (You may make your own)  All entries must be dated, timed (in military time), and signed. No crossing out is allowed without initialing. Black ink only.  All pages must patient name, date of birth and medical record number.

4. Must include: Patient Name (last, then first) Room Number Doctor Allergy Sticker (Must be allergic to at least one medicine or food item) Code Status (Full/DNR; choose one)

5. Patient name, room number, doctor, date of admission, admitting diagnosis, allergies, weight, previous history (including surgeries), diet, activity, how often vital signs are taken, tests scheduled, labs to be done, procedures/surgeries to be done, safety measures, IV sites and fluids, respiratory/ oxygen therapy, isolation precautions, contact information, misc info-language, dentures etc.

6.  Sample Kardex Sample Kardex

7.  Admission Data: Admission Sheet & Nursing History (Provided to You)  Consents: Consent to treat, consent for receiving blood, procedure or surgical consent.  Doctor’s Orders ( Must include one completed order)  Progress Notes – (Must include one completed Progress Note)

8.  Flow Sheets: Vital Sign flow sheet and Intake and Output flow sheet. (Must include one flow sheet with at least 5 entries)  Lab results (Must include at least one set of lab results)  Reports: Operative reports, anesthesia record, x-ray reports (Include at least one)

9.  Sample consent form – Located on Wikispace page.  Sample MD Orders – Located on Wikispace page.  Sample Progress Note - Progress Note (Do not leave areas on progress note blank, or write refer to chart.), also p. 57 in Mosby’s Textbook for Nursing AssistantsProgress Note  Sample Flowsheet – p. 57-58 in Mosby’s Texbook for Nursing Assistants

10.  Sample Lab Reports - How to Read and Understand Medical Laboratory Results – wikiHowHow to Read and Understand Medical Laboratory Results – wikiHow  Sample Anesthesia Record - Anesthesia ReportAnesthesia Report  Sample Operative Record - Operative RecordOperative Record  Sample X-Ray Report - X-Ray Report lX-Ray Report l

11.  Monday October 17, 2011