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NURSING AUDIT TOOL
21-9-13
NURSING CARE AUDIT TOOL
MRN New admissions MRN Previous admissions REMARK
Nursing
assessment
Green if done
&Red if not done
Clinical audit
Remarks on
the
assessment
and nursing
diagnosis
made
Nursing
progress
Green if
done &Red
if not done
V/S Medicatio
n sheet
Follow
up chart
Nursing
care
Clinical audit
Remarks on progress note,
V/S, medication sheet, follow
up and nursing care
779168 763512
779052 764411
777356
778131
770202
WARD Name MA
NURSING CARE AUDIT TOOL
MRN New admissions MRN Previous admissions REMARK
Nursing
assessment
Green if done
&Red if not done
Clinical audit
Remarks on
the
assessment
and nursing
diagnosis
made
Nursing
progress
Green if
done &Red
if not done
V/S Medicatio
n sheet
Follow
up chart
Nursing
care
Clinical audit
Remarks on progress note,
V/S, medication sheet, follow
up and nursing care
779152 778854
777191
755108
WARD NAME MB
NURSING CARE AUDIT TOOL
MRN New admissions MRN Previous admissions REMARK
Nursing
assessment
Green if done
&Red if not done
Clinical audit
Remarks on
the
assessment
and nursing
diagnosis
made
Nursing
progress
Green if
done &Red
if not done
V/S Medicatio
n sheet
Follow
up chart
Nursing
care
Clinical audit
Remarks on progress note,
V/S, medication sheet, follow
up and nursing care
No new
admission
779047 Medication sheet shows only
the time
778699
777220
WARD Name MC
NURSING CARE AUDIT TOOL
MRN New admissions MRN Previous admissions REMARK
Nursing
assessment
Green if done
&Red if not done
Clinical audit
Remarks on
the
assessment
and nursing
diagnosis
made
Nursing
progress
Green if
done &Red
if not done
V/S Medicatio
n sheet
Follow
up chart
Nursing
care
Clinical audit
Remarks on progress note,
V/S, medication sheet, follow
up and nursing care
704330 778500
778083
WARD Name MAXILO
NURSING CARE AUDIT TOOL
MRN New admissions MRN Previous admissions REMARK
Nursing
assessment
Green if done
&Red if not done
Clinical audit
Remarks on
the
assessment
and nursing
diagnosis
made
Nursing
progress
Green if
done &Red
if not done
V/S Medicatio
n sheet
Follow
up chart
Nursing
care
Clinical audit
Remarks on progress note,
V/S, medication sheet, follow
up and nursing care
NO NEW
ADMISSION
778922 recent progress note is on
19-09-2013 8:49 pm
WARD Name AICU
NURSING CARE AUDIT TOOL
MRN New admissions MRN Previous admissions REMARK
Nursing
assessment
Green if done
&Red if not done
Clinical audit
Remarks on
the
assessment
and nursing
diagnosis
made
Nursing
progress
Green if
done &Red
if not done
V/S Medicati
on sheet
Follow up
chart
Nursing
care
Clinical audit
Remarks on progress note,
V/S, medication sheet, follow
up and nursing care
No new
admission
778482 No nursing progress at all
WARD Name PICU
NURSING CARE AUDIT TOOL
MRN New admissions MRN Previous admissions REMARK
Nursing
assessment
Green if done
&Red if not done
Clinical audit
Remarks on
the
assessment
and nursing
diagnosis
made
Nursing
progress
Green if
done &Red
if not done
V/S Medicatio
n sheet
Follow
up chart
Nursing
care
Clinical audit
Remarks on progress note,
V/S, medication sheet, follow
up and nursing care
772798 779120 NO NURSING PROGRESS AT ALL
772804 772469 Medication sheet shows only
the time
731138 Medication sheet shows only
the time
WARD Name SA
NURSING CARE AUDIT TOOL
MRN New admissions MRN Previous admissions REMARK
Nursing
assessment
Green if done
&Red if not done
Clinical audit
Remarks on
the
assessment
and nursing
diagnosis
made
Nursing
progress
Green if
done
&Red if
not done
V/S Medicatio
n sheet
Follow
up chart
Nursing
care
Clinical audit
Remarks on progress note,
V/S, medication sheet, follow
up and nursing care
774613 775100
777890 778662
770459 776895
WARd Name SB
NURSING CARE AUDIT TOOL
MRN New admissions MRN Previous admissions REMARK
Nursing
assessment
Green if done
&Red if not done
Clinical audit
Remarks on
the
assessment
and nursing
diagnosis
made
Nursing
progress
Green if
done
&Red if
not done
V/S Medicatio
n sheet
Follow
up chart
Nursing
care
Clinical audit
Remarks on progress note,
V/S, medication sheet, follow
up and nursing care
774036 779137
WARd Name NEURO

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21-9-13A.pptx

  • 2. NURSING CARE AUDIT TOOL MRN New admissions MRN Previous admissions REMARK Nursing assessment Green if done &Red if not done Clinical audit Remarks on the assessment and nursing diagnosis made Nursing progress Green if done &Red if not done V/S Medicatio n sheet Follow up chart Nursing care Clinical audit Remarks on progress note, V/S, medication sheet, follow up and nursing care 779168 763512 779052 764411 777356 778131 770202 WARD Name MA
  • 3. NURSING CARE AUDIT TOOL MRN New admissions MRN Previous admissions REMARK Nursing assessment Green if done &Red if not done Clinical audit Remarks on the assessment and nursing diagnosis made Nursing progress Green if done &Red if not done V/S Medicatio n sheet Follow up chart Nursing care Clinical audit Remarks on progress note, V/S, medication sheet, follow up and nursing care 779152 778854 777191 755108 WARD NAME MB
  • 4. NURSING CARE AUDIT TOOL MRN New admissions MRN Previous admissions REMARK Nursing assessment Green if done &Red if not done Clinical audit Remarks on the assessment and nursing diagnosis made Nursing progress Green if done &Red if not done V/S Medicatio n sheet Follow up chart Nursing care Clinical audit Remarks on progress note, V/S, medication sheet, follow up and nursing care No new admission 779047 Medication sheet shows only the time 778699 777220 WARD Name MC
  • 5. NURSING CARE AUDIT TOOL MRN New admissions MRN Previous admissions REMARK Nursing assessment Green if done &Red if not done Clinical audit Remarks on the assessment and nursing diagnosis made Nursing progress Green if done &Red if not done V/S Medicatio n sheet Follow up chart Nursing care Clinical audit Remarks on progress note, V/S, medication sheet, follow up and nursing care 704330 778500 778083 WARD Name MAXILO
  • 6. NURSING CARE AUDIT TOOL MRN New admissions MRN Previous admissions REMARK Nursing assessment Green if done &Red if not done Clinical audit Remarks on the assessment and nursing diagnosis made Nursing progress Green if done &Red if not done V/S Medicatio n sheet Follow up chart Nursing care Clinical audit Remarks on progress note, V/S, medication sheet, follow up and nursing care NO NEW ADMISSION 778922 recent progress note is on 19-09-2013 8:49 pm WARD Name AICU
  • 7. NURSING CARE AUDIT TOOL MRN New admissions MRN Previous admissions REMARK Nursing assessment Green if done &Red if not done Clinical audit Remarks on the assessment and nursing diagnosis made Nursing progress Green if done &Red if not done V/S Medicati on sheet Follow up chart Nursing care Clinical audit Remarks on progress note, V/S, medication sheet, follow up and nursing care No new admission 778482 No nursing progress at all WARD Name PICU
  • 8. NURSING CARE AUDIT TOOL MRN New admissions MRN Previous admissions REMARK Nursing assessment Green if done &Red if not done Clinical audit Remarks on the assessment and nursing diagnosis made Nursing progress Green if done &Red if not done V/S Medicatio n sheet Follow up chart Nursing care Clinical audit Remarks on progress note, V/S, medication sheet, follow up and nursing care 772798 779120 NO NURSING PROGRESS AT ALL 772804 772469 Medication sheet shows only the time 731138 Medication sheet shows only the time WARD Name SA
  • 9. NURSING CARE AUDIT TOOL MRN New admissions MRN Previous admissions REMARK Nursing assessment Green if done &Red if not done Clinical audit Remarks on the assessment and nursing diagnosis made Nursing progress Green if done &Red if not done V/S Medicatio n sheet Follow up chart Nursing care Clinical audit Remarks on progress note, V/S, medication sheet, follow up and nursing care 774613 775100 777890 778662 770459 776895 WARd Name SB
  • 10. NURSING CARE AUDIT TOOL MRN New admissions MRN Previous admissions REMARK Nursing assessment Green if done &Red if not done Clinical audit Remarks on the assessment and nursing diagnosis made Nursing progress Green if done &Red if not done V/S Medicatio n sheet Follow up chart Nursing care Clinical audit Remarks on progress note, V/S, medication sheet, follow up and nursing care 774036 779137 WARd Name NEURO