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  2. Operative report - Wikipedia

    en.wikipedia.org/wiki/Operative_report

    The operative report is dictated right after a surgical procedure and later transcribed into the patient's record. The operative report includes preoperative and postoperative diagnoses, patient condition after surgery, all medications used in association with the procedure, pertinent medical history (Hx) , physical examination (PE), consent ...

  3. Nursing assessment - Wikipedia

    en.wikipedia.org/wiki/Nursing_assessment

    Other assessment tools may focus on a specific aspect of the patient's care. For example, the Waterlow score and the Braden scale deals with a patient's risk of developing a Pressure ulcer (decubitus ulcer), the Glasgow Coma Scale measures the conscious state of a person, and various pain scales exist to assess the "fifth vital sign".

  4. Patient-reported outcome - Wikipedia

    en.wikipedia.org/wiki/Patient-reported_outcome

    Valderas JM, Alonso J. Patient reported outcome measures: a model-based classification system for research and clinical practice. Qual Life Res. 2008; 17: 1125–35. Wiklund I., Assessment of patient-reported outcomes in clinical trials: the example of health-related quality of life, Fundam Clin Pharmacol. 2004 Jun;18(3):351-63.

  5. Medical-surgical nursing - Wikipedia

    en.wikipedia.org/wiki/Medical-surgical_nursing

    Medical-surgical nursing is a nursing specialty area concerned with the care of adult patients in a broad range of settings. Traditionally, medical-surgical nursing was an entry-level position that most nurses viewed as a stepping stone to specialty areas. Medical-surgical nursing is the largest group of professionals in the field of nursing.

  6. Point of care - Wikipedia

    en.wikipedia.org/wiki/Point_of_care

    Point of care (POC) documentation is the ability for clinicians to document clinical information while interacting with and delivering care to patients. [10] The increased adoption of electronic health records (EHR) in healthcare institutions and practices creates the need for electronic POC documentation through the use of various medical devices. [11]

  7. Emergency Severity Index - Wikipedia

    en.wikipedia.org/wiki/Emergency_Severity_Index

    Emergency Severity Index (ESI): A Triage Tool for Emergency Department Care, Version 4. Implementation Handbook 2012 Edition. AHRQ. ISBN 978-1-58763-416-1. Gilboy N, Tanabe T, Travers D, Rosenau AM (2020). Emergency Severity Index (ESI): A Triage Tool for Emergency Department Care, Version 4. 2020 Edition (PDF). Emergency Nurses Association.

  8. Physical examination - Wikipedia

    en.wikipedia.org/wiki/Physical_examination

    The routine physical, also known as general medical examination, periodic health evaluation, annual physical, comprehensive medical exam, general health check, preventive health examination, medical check-up, or simply medical, is a physical examination performed on an asymptomatic patient for medical screening purposes.

  9. Critical care nursing - Wikipedia

    en.wikipedia.org/wiki/Critical_care_nursing

    Intensive Care Unit (ICU) nurse at the San Salvatore Hospital in Pesaro, during COVID-19 pandemic in Italy. Critical care nursing is the field of nursing with a focus on the utmost care of the critically ill or unstable patients following extensive injury, surgery or life-threatening diseases. [1]