Nurse handoff report template - Back SBAR Handoff Report Acronym What Is It, When It’s Used, and More. Author s: Anna Hernández, MD, Kelsey LaFayette, DNP, ARNP, FNP-C. Editor s: Alyssa Haag, Emily Miao, PharmD. Illustrator: …

 
Transport teams understand that written handoffs won't always be available; however, some forms (for example, medical necessity and demographic forms) are required for patient transport. Verbal report at a minimum (preferably accompanied by printed or electronic written documentation) should include: name. gender. age.. Lafayette indiana jail roster

Labor and Delivery Nurse Report Template, Labor and Delivery Report Sheet, Postpartum Nursing Report Sheet, Mother and Baby Report Template (931) Sale ... Couplet Report Sheet | Postpartum Handoff | Nurse Shift Report | (20) $ 3.50. Digital Download Add to Favorites Postpartum/Mother Baby hourly report sheet Nurse "brain" 1900 7 PM 12 hour ...Our shift is coming to an end and we (you and I) want to give the incoming nurse a good handoff report that will save them time and maintain the patient’s continuity of care. Using our nurse report sheet as reference, we will present our handoff report in a systematic way.This user-friendly and customizable ICU Report Sheet Template PDF is a practical tool for healthcare providers, ensuring standardized documentation and facilitating seamless communication in the dynamic and complex environment of the intensive care unit. Download the template to streamline your documentation processes and enhance patient care ...necessity of standardization of communication among nursing as a handoff of care. Change of shift report, or nurse-to-nurse report ensures the transfer of critical information to promote patient safety and best practices. Transferring and communicating pertinent information from one shift to the next is one factor in providing continuity of care.In-hospital handoffs are common in hospitals and represent a vulnerable time during patient care. For example, hospitalized patients are often passed between doctors an average of 15 times during a single five-day hospitalization [ 7 ]. Poor handoffs lead to uncertainty during clinical decision-making, which then leads to potential harm (near ...The transfer of essential information and the responsibility for care of the patient from one health care provider to another is an integral component of communication in health care. This critical transfer point is known as a handoff.1–3 An effective handoff supports the transition of critical information and continuity of care and treatment. However, the literature continues to highlight ...PACU nurse single patient Report Sheet template. SBAR nurse Handoff. Post-op nurse brain sheet. Nursing Student report PDF. Operating Room. jenny s. Aug 24, 2022 5 out of 5 stars. Listing review by samantha Hickey. awesome I love using this Purchased item: PACU nurse single patient Report Sheet template. ...3. Improving Nursing Shift Handoff Reports: A Quality Improvement Project. Nursing shift-to-shift handoff report is an important time that can greatly impact a patient’s quality of care. The challenge for the outgoing nurse is to distill what relevant information is needed for the next nursing shift.So I tried to find a good report sheet for the psych nurse but couldn't find one that fits my needs at work. So I made this, it works for me for both day and night shifts. I print this on both sides so the other side can guide me on what to report on the progress note and stuff. Hope this helps someone. mental health report sheet.docx. 2. + Add ...Printable Cna Nurse Handoff Report Template Ccu, Thesis And Article Writing Format And Style Of Referencing Ppt, Professional Analysis Essay Writer Service For Phd, Example Of Expository Essay In Jane Schaffer Example, How To Write About A Sculpture For Art History Essay, Asylum Architecture Thesis, All Love Is Expansion All Selfishness Is Contraction Essay In Hindi LanguageBackground: Nursing handoff is a communication activity with a high risk for loss or omission of information. Efforts to improve handoffs include standardization of the processes and content of handoff communications. Objectives: To examine nurses' perspectives on the structure and organization of change-of-shift handoffs. Methods: A qualitative descriptive approach was used to conduct a ...These are the 46 best HTML Form templates for login forms, signup forms, contact forms, survey forms and more. Trusted by business builders worldwide, the HubSpot Blogs are your nu...STANDARDIZING communication during patient handoff (shift report) is one of the 2006 National Patient Safety Goals established by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). To meet this goal, nurses in one of our hospital's medical/surgical units decided to adopt a standardized template for handoffs between shifts.For the charge nurse. You give a handoff report twice: once at the beginning of the shift and one closer to the end. In the beginning, say the situation, any drips, and the plan for the patient. And if you anticipate that you’ll need help from her, this is the time to speak up. For the second report, state what has changed since you started ... 11. Charge Nurse Report Sheet. Yep. Even charge nurses have to take report. In fact, when I was working as charge nurse of our 34-bed ICU I would arrive about an hour ahead of all the staff nurses to take a detailed bedside report of EVERY.SINGLE.PATIENT. It was a lot to keep track of during a 12-hour shift. This report will provide crucial information about the patients' conditions, ongoing care plans, and any specific instructions to follow. By reviewing this report, you can ensure a smooth transition and maintain continuity of care. Notes from previous shift charge nurse. Review all patients' data including medical status and care plan.1. Always be prepared. Be the Boy Scout (sorry, ladies). I approach giving report the same way I approach calling a physician. Have your ducks in a row, have all your information gathered and know what you want to say before you start saying it. 2. Anticipate. Always anticipate the questions.Submit. 724. Finished Papers. 4.8/5. offers a great selection of professional essay writing services. Take advantage of original, plagiarism-free essay writing. Also, separate editing and proofreading services are available, designed for those students who did an essay and seek professional help with polishing it to perfection.Toolkit Description. T he Operating Room (OR) to Intensive Care Unit (ICU) Handover Improvement Toolkit is designed to help clinical team leaders transform the transfer of care for surgical patients into a safer, faster, and more reliable process. This document is a "one stop" reference that guides users through the handover improvement ...Charge Nurse Hand-Off Report Online-only content for “An Evidence-Based Approach to Taking Charge,” by Flynn and colleagues in the American Journal of Nursing, …Nursing Report Sheets | Printable Nursing Handoff Report Sheet | Nursing School Clinical Report Template. (3) $3.00. Digital Download. Three or Six Patient Med Surg Nurse Report Brain Sheet Printable PDF Template. Multiple Patient SBAR RN handoff. Nursing Student Resources. (421)The glamorous Nursing Handoff Report Template (1) photo below, is part of Nursing Handoff Report Template report which is grouped within Report Template, icu nurse brain sheet, icu nurse report sheet pdf, med surg nursing worksheet pdf, nicu brain sheet, nurse brain sheet editable, nursing assessment sheet, Nursing Handoff Report Template, nursing handoff report template …The transfer of essential information and the responsibility for care of the patient from one health care provider to another is an integral component of communication in health care. This critical transfer point is known as a handoff.1–3 An effective handoff supports the transition of critical information and continuity of care and treatment. However, the …INTRODUCTION. Patient handoffs are highly susceptible to errors, including the omission of relevant information, which can lead to medical errors and patient harm. 1 Verbal handoffs are accompanied by a physical handoff report that is commonly a free-texted document prepared manually by the providers. With manual input of data, …Statement of the Problem. Emergency Department (ED) nurses have a responsibility to conduct a handoff report to. the floor unit when a patient is to be admitted to the unit. The handoff process is defined as the. transfer of care services between healthcare providers (Abraham, Kannampallil, Almoosa, B.P.3 min read. You're a bedside nurse, so handoffs are part of your daily routine. Most of the time, they're just that — routine. Sometimes, though, important details get lost in translation. Consider this fictional scenario: Last night, Jill, a staff nurse on the med-surg floor, admitted a male patient named Smith through the emergency ...15+ Sample Nursing Report Templates. A nursing report outline focuses on providing accurate details of nursing by developing conducted research understood to the complete level of practicing nurses, educators, and interested members of the public. The sample report templates act as a huge help when it comes to constructing a precise nursing report. We have various templates users can use for ...Medical Record #: 87654321 Date of Birth: 3/1/22 (age = 93) Mr. Smith presented to the ED this morning via EMS with cough, purulent sputum, fever and dyspnea. He was hypoxic with a HR of 110 on arrival. Temperature of 102 and WBC 24K in the ED. Working diagnosis in the ED is suggestive of right lower lobe pneumonia and sepsis.Bedside Handover Report *Update this report in pencil and pass it forward to the next nurse during bedside handover. Identify: Patient/Family: Age & Sex: *Before approaching the bed, pause to highlight any sensitive issues for oncoming nurse Patient / Family or Emotional / Social / Diagnosis Situation Physician/Team: Code Status: Isolation ...4. Benefits of a Great Shift Report. Alice reports there is a lot of data suggesting that nurses have increased satisfaction when they get a good shift report. Other advantages include: Patient safety. Improved communication. More efficient teamwork. Better nursing accountability. Better shift report accuracy.Project Aim Statement. The aims of this project are to (1) implement the use of a standardized clinical report tool. during NKE, (2) reduce the number of patient falls by 25%, and (3) improve nurse. communication and NKE satisfaction scores from baseline (73% and 62% respectively) to meet.Handoff Report. September 24, 2020. After huddle, report begins. A NICU report looks much different than the adult world and includes ALL (if not MOST) of the following, depending on your facility: GENERAL. Baby’s name. Code status (Full, DNR, partial code, etc.) Social history (CPS involvement, custody issues, etc.) Any …The SBAR tool (Situation, Background, Assessment, and Recommendation) is one of the most researched communication tools among healthcare providers (Müller et al., 2018). Using the SBAR as a template, the CNAHRT (Certified Nursing Assistant Handoff Report Tool) was adapted by the DNP project lead in 2021 to correlate with the tasks of a CNA.Free Templates. Nursing report sheets, also commonly referred to as brain sheets or patient report sheets, are a valuable pre-made tool that nurses can use during a shift to keep important patient information. Truthfully, a report sheet is essential to making it through any shift. Keep reading to learn more about nursing report sheets and get ...Charge Nurse Hand-Off Report Online-only content for “An Evidence-Based Approach to Taking Charge,” by Flynn and colleagues in the American Journal of Nursing, September 2010, p. 58-63. Unit: Staffing: RNs PCTs/NAs: Date: Sick Calls: Shift: Charge Nurse: Census: Admissions Transfers Discharges OR Quality IssuesNursing report sheets (also known as patient report sheets or nursing brain sheets) are templates nurses fill out with important patient information. These sheets are handoffs at the end of each shift and are given to the new nurse taking over for the next shift. For example, if a nurse comes in for their night shift, they would get a nursing ...Handoff occurs at several intervals throughout a patient’s journey. It begins during admission and ends when the patient is discharged. Handoffs are conducted when there is a change in the level of care, temporary transfer of care, change in the provider or specialty service, and discharge. ... It is used by nurses, physicians, surgeons ...necessity of standardization of communication among nursing as a handoff of care. Change of shift report, or nurse-to-nurse report ensures the transfer of critical information to promote patient safety and best practices. Transferring and communicating pertinent information from one shift to the next is one factor in providing continuity of care.A nursing report sheet is a paper template that a nurse uses throughout the day to keep track of what is going on with his or her patients. ... such as these listed, might be included in a handoff or start-of-shift report: Shift Report. Neurological state, including information about speech clarity, extremities, sensation, ability to follow ...Check out our nurse handoff report template selection for the very best in unique or custom, handmade pieces from our templates shops.Tool: I-PASS. I-PASS has become the preferred handoff tool for patient transitions in many organizations. It is an example of an evidence-based option for conducting a structured handoff. Your facility should determine a standard protocol for delivering handoffs and make it known to everyone. Standard scripts can help make processes more ...1. Always be prepared. Be the Boy Scout (sorry, ladies). I approach giving report the same way I approach calling a physician. Have your ducks in a row, have all your information gathered and know what you want to say before you start saying it. 2. Anticipate. Always anticipate the questions.Check out our nurse handoff report template selection for the very best in unique or custom, handmade pieces from our shops.An end-of-shift report is an organized collection of information gathered by the patient's current nurse and communicated to the oncoming nurse taking over the patient's care. Details must be written, clear, and concise. Shift reports must include the current medical status, history, patient needs, allergies, a record of the patient's pain ...Family members may be included with the patient’s permission. See a sample checklist for a bedside handoff report from the Agency for Healthcare Research and Quality in Figure 10. [5] Although a bedside handoff report is similar to an ISBARR report, it contains additional information to ensure continuity of care across nursing shifts.Check out our nurse patient handoff report template selection for the very best in unique or custom, handmade pieces from our templates shops.Download our free sales funnel templates and personalize them to visualize your customers’ journey from start to finish. Sales | Templates REVIEWED BY: Jess Pingrey Jess served on ...Nurse Report Sheet, RN Handoff Tool, Medical Surgical Telemetry, Nursing Student Patient Report Sheet, Registered Nurse Digital Download. (68) $2.99. Two Patient Nurse Report Sheet template. SBAR RN Handoff. Simple full patient assessment. Med Surg brain sheet. Nursing Student report PDF. (376)An incomplete handoff report can have negative consequences such as patient harm, decreases in patient safety, and dissatisfaction for all members of the team. This quality improvement project focused on the implementation of a standardized handoff tool utilized in the Post Anesthesia Care Unit by CRNAs while giving handoff report to PACU nurses.01. Edit your nurse handoff report pdf online. Type text, add images, blackout confidential details, add comments, highlights and more. 02. Sign it in a few clicks. Draw your signature, type it, upload its image, or use your mobile device as a …Your Nurse's Brain can function as a nursing handoff report template, too, just so you know. If you have kept track of this information using your Nurse's Brain, it's easy to quickly transfer the knowledge at shift change, and it could help the other nurses to do better just by following and keeping track of your records.Background. Nursing handoff is a communication activity with a high risk for loss or omission of information. Efforts to improve handoffs include standardization of the processes and content of handoff communications.Objectives. To examine nurses' perspectives on the structure and organization of change-of-shift handoffs.Methods. A qualitative descriptive approach was used to conduct a ...Printable Nursing Report Sheet allows you to: Discover how easy giving report can be. 🎉 Always know what to say. 🖐 Feel confident handing off report. 💻 Print & repeat! I'M … Improve patient care with our Nursing Handoff Report Template. Simplify communication during shift changes with this easy-to-use resource. Content last reviewed June 2023. Agency for Healthcare Research and Quality, Rockville, MD. A warm handoff is a transfer of care between two members of the health care team, where the handoff occurs in front of the patient and family. This transparent handoff of care allows patients and families to hear what is said and engages patients and ...development and implementation of the handoff tool created by a multidisciplinary team. Throughout the PACU, bedside nurses were utilizing a handwritten paper that contained patient information obtained from the PACU charge nurse and the operative nurse report prior to the patient transferring to the PACU from the operating room. Nursing Handoff Report Template. One of the Joint Commission’s standards requires all healthcare providers to implement a standardized approach to handoff communications and offers guidance to reduce medical errors and safeguard patients. This section will provide the Joint Commission recommendations on what to include in your handoff report ... Check out our nurse handoff report template selection for the very best in unique or custom, handmade pieces from our templates shops.Bedside handoff report on mother/baby unit. I work on a postpartum unit where we do couplet care from 7 am until 11 pm. At night however, the nursery opens and the nurses there get a patient ration of 6:1 and the nurses on the postpartum unit do likewise. At 7am we go back to couplet care. What we have been doing is that the mom's nurses tape ... Am J Crit Care. 2006;15:30-37. [ go to PubMed] The process of transferring responsibility for care is referred to as the "handoff," with the term "signout" used to refer to the act of transmitting information about the patient. (This Primer will discuss handoffs and signouts in the context of transfers of care during hospitalization. The enchanting Nursing Handoff Report Template (4) digital photography below, is other parts of Nursing Handoff Report Template write-up which is categorised within Report Template, icu nurse report sheet pdf, med surg nursing worksheet pdf, nurse brain sheet editable, nurse shift report sheet download, nursejanx report sheet, Nursing Handoff ...Ultimate Nursing Report Sheet Database & Free Downloads. Receiving and giving report is an artists that will only be mastered with time, your and practice that do not take discouraged! MYSELF hope this template can help organize my thoughts for each patient plus remind you what exists necessary until ease this handoff process.Failure analysis reports play a crucial role in identifying the root causes of failures and preventing them from reoccurring. These reports provide valuable insights into what went...A process for guiding the handoff process should include the following: Interactive communications. Limited interruptions. A process for verification. An opportunity to review any relevant historical data 4. Properly executed handoffs are interactive and include the opportunity for questions and answers. Strategy 3: Nurse Bedside Shift Report helps ensure the safe handoff of care between nurses by involving the patient and family. Nurse Bedside Shift Report Implementation Handbook gives an overview of and a rationale for nurse bedside shift report and provides step-by-step guidance to help hospitals put this strategy into place and address ... Some benefits of using these Nursing Handoff Report Template: Printable. It can be directly used by placing images on a worksheet (you can use Photoshop, Corel Draw, or other graphic design programs); Editable. This Nursing Handoff Report Template can be opened and customized with Microsoft Office Word and PDF with any version;The enchanting Nursing Handoff Report Template (4) picture below, is part of Nursing Handoff Report Template editorial which is categorized within Report Template, icu nurse report sheet pdf, med surg nursing worksheet pdf, nurse brain sheet editable, nurse shift report sheet download, nursejanx report sheet, Nursing Handoff Report Template, nursing handoff report template pdf, telemetry […]Nursing Handoff Report Template. Handoff situations are prone to errors. Template linked to the hospitals discharge information system for the day to night handoff. Patients who are being transferred within or from an acute care facility—any handoff transition when a patient moves from one unit to another is an opportunity for the offgoing ...The ASA defines the standard for OR-to-PACU handoff: “Upon arrival in the PACU, the patient shall be re-evaluated and a verbal report to the responsible PACU nurse by a member of the anesthesia care team who accompanies the patient.” 3 In spite of these guidelines, the quality and quantity of information exchanged can still be variable ...We selected 3 handoff contexts for this QI initiative: evening shift to shift physician signout, morning and evening inpatient nursing bedside report, and handoffs when admitted patients were temporarily transferred to the diagnostic imaging or procedures departments. Oncology fellows and hospitalists primarily conducted physician signout.Nursing Report Sheet, Nurse Brain Sheet, RN Handoff Tool, Nurse Report Sheet Med Surg, Registered Patient Report Sheet - Digital Download (365) $ 2.99. Digital Download ... Editable Postpartum Nurse Report Sheet Template, Brain Sheet for Mother Baby RN (28) $ 4.50. Digital Download Add to Favorites ...6. The off-going Head (Charge ) Nurse advises the on-coming staff of any changes in policies and procedures, and clarify any outstanding questions. 7. Staff arriving after change of shift report are required to report to the Charge Nurse for the shift report. They will sign the 24 hour report to verify that it was received. 8.Finest Essay Writing Service & Essay Writer. REVIEWS HIRE. REVIEWS HIRE. 4.8/5. 100% Success rate. 1811 Orders prepared. Your credit card will be billed as Writingserv 938-777-7752 / Devellux Inc, 1012 E Osceola PKWY SUITE 23, KISSIMMEE, FL, 34744.recommendations handout toolkit 07. Hand-off Communications. Recommendations. Patient care quality and safety can be improved during hand offs when physician, nurse, and clinical champions join leadership in making improved hand offs a system priority, including needed procedural and cultural changes.Our shift is coming to an end and we (you and I) want to give the incoming nurse a good handoff report that will save them time and maintain the … Step 7: Finalize the report. Complete the report with any miscellaneous notes, such as equipment or supply issues, and add your observations and personal reflections. Sign off with your name, the date, and time. In conclusion, using the Nursing Shift Report Template effectively ensures that every shift transition is smooth, with all necessary ... Effective change-of-shift handoff communication is a core competency in the generalist education of nurses. The use of a standardized handoff tool that fosters higher order thinking and clinical reasoning is fundamental in clinical education and nursing practice (AACN, 2008). A checklist that prompt …

Printable ICU Nurse Report Sheet Template has all the details and metrics to make your shifts hassle-free and organized. This Nursing Report Sheet is available in A4 & US Letter sizes. ... To track all the details, this is the nurse handoff sheet I produced and used over the past seven years. It helped me feel prepared and confident to pass on .... Freightliner cascadia bed size

nurse handoff report template

Nurse shift report (handoff, SBAR) sheet for ICU, PCU, step down, med surg, and nursing students. Download and print instantly. ... Invitation Templates Within Nurse Shift Report Sheet Template - Professional Template. Supply of protected and correct well being care is extraordinarily vital to sufferers' well being. Presently, a variety of ...Printable nurse report sheets for new grad nurses and nursing students to make their nursing easy. Samsdigitalhub. Aug 7, 2023 - nursing handoff report template pdf. There are any references about nursing handoff report template pdf in here. you can look below. I hope this article about nursing handoff report template pdf can be useful for you.Nursing report nurse template templates sheet sample shift brain handoff nurses example format icu bedside patient pdf word excel reportingNursing handoff report template Nursing report sheet templateNursing report sheet template together with sbar nurse regarding med.The excellent Nursing Handoff Report Template (6) pics below, is part of Nursing Handoff Report Template content which is grouped within Report Template, icu nurse report sheet pdf, med surg nursing worksheet pdf, nurse brain sheet editable, nurse shift report sheet download, nursejanx report sheet, Nursing Handoff Report Template, nursing ...We're sure we have a professional paper writer with the skills to complete practically any assignment for you. We only hire native English speakers with a degree and 3+ years of experience, some are even uni professors. Level: College, High School, University, Undergraduate, Master's. 4.8/5.Divide students into groups of 3. 3. Assign QR Codes and Roles. Assign and give each student a QR Code for a handoff report with an associated created story (see above). Each student will take turns playing the role of nurse, patient, and provider. Assign students so that each threesome will play each role one time.How to Create your SBAR Nurse Report Sheet. You can generate a PDF printout (just like the screenshot above) using the NurseBrain app (available on IOS and Android ). Just open the NurseBrain app, go to your clipboard, swipe right on the patient you want to share and select "Share PDF.". If the incoming nurse already has the NurseBrain app ...Failure analysis reports play a crucial role in identifying the root causes of failures and preventing them from reoccurring. These reports provide valuable insights into what went...Your Nurse’s Brain can function as a nursing handoff report template, too, just so you know. If you have kept track of this information using your Nurse’s Brain, it’s easy to quickly transfer the knowledge at shift change, and it could help the other nurses to do better just by following and keeping track of your records.A process for guiding the handoff process should include the following: Interactive communications. Limited interruptions. A process for verification. An opportunity to review any relevant historical data 4. Properly executed handoffs are interactive and include the opportunity for questions and answers.Effective change-of-shift handoff communication is a core competency in the generalist education of nurses. The use of a standardized handoff tool that fosters higher order thinking and clinical reasoning is fundamental in clinical education and nursing practice (AACN, 2008). A checklist that prompt …7. Two Patient Landscape Nurse Report Sheet. 8. Three Patient SBAR Nurse Report Sheet. 9. Full-size Nurse Report Sheet Template. 10. History and Physical Template. NurseTasks is the ultimate productivity tool for nurses with organization, task management, progress tracking, and more!bedside handoff as indicated on the Modified Bed-side Handoff Tool (Figure 1). The secondary aim was to improve patient and nurse satisfaction with bed-side reporting through developing, implementing, and evaluating the use an SBAR structure of hybrid bed-side handoff between nurses on a postpartum unit. Target outcomes for implementation includingusing a convenience sample of nurses at a 22-bed acute medical services unit of a jail. The study employed a mixed methods approach utilizing questionnaires, observations, interviews, and ... The clinical handoff report is a crucial communication event in patient care, but is also a major contributor to adverse events and poor clinical outcomes ...Check out our hand off nursing report selection for the very best in unique or custom, handmade pieces from our templates shops.Supply of protected and correct well being care is extraordinarily vital to sufferers' well being. Presently, a variety of issues of safety has challenged the healthcare supply and subsequently, many private and organizational methods have been developed for selling affected person security.1 Beforehand, folks believed that hospitals are protected locations for receiving medical therapies ... 18 Free Nursing Report Sheets (Templates) A nursing report sheet is used by nurses in health establishments to obtain crucial patient information, which is then given to the nurse taking over the next shift. This sheet is also known as a patient report sheet, an end-of-shift report, or a nursing brain sheet. Free Download. End-of-shift reports, also known as handoffs, are crucial in nursing for ensuring continuity of care. This report is a detailed communication between the outgoing and incoming nurses, summarizing the patient's condition, treatment, and any changes or needs. Key points to cover include current medical status, medications, pending ...Conclusions: Utilization of a standardized communication tool on an inpatient behavioral health. unit has the potential to increase patient safety as nurses are more likely to report key aspects of. the patients' health condition. Utilization of a Standardized Handoff Tool (PSYCH) to Reduce Errors of Omission.A Midwestern, 532-bed, acute care, tertiary, Magnet® designated teaching hospital identified concerns about fall rates and patient and nurse satisfaction scores. Research has shown that the implementation of bedside report has increased patient safety and patient and nurse satisfaction. An evidence-based practice change incorporating bedside report into standard nursing care was implemented ....

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