NURS 550 Focused Note Template
Drexel University
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NURS 550 - Focused Note Template
Drexel University
NURS 550 - Focused Note Template
Date of encounter: Patient Name or initials: Informant: (Source of history/Reliability) Chief Complaint (CC): History of present illness (HPI): include 7 attributes of principal symptoms (OLD CART) Allergies: (Medication, food, over-the-counter meds, environmental, latex) Medications: (dose, frequency, indication) ie. Lisinopril 10 mg daily HTN (prescription, over-the-counter, vitamins/herbal supplements) Smoking/Recreational drugs: Drink Alcohol: Past History: childhood illnesse...
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