Nurse Progress Report  Health teachings given such as the

importance of the following:

Date Time Focus Nurses Notes o Hand hygiene techniques
10/9/19 6-2 Readiness D > Received patient on bed, sitting, o Grooming
6am for conscious and coherent. o Perineal care or wash
Enhance to  With an IVF of D5LRS i L + 20 ü o Breast-care
knowledge Oxytocin at 700 cc level, to run for 30  Discussed the importance of
related to gtts/min, infusing well on the right hand breastfeeding
desire to (if applicable)  Instructed when to take the medication
improve  With O2 via nasal cannula at 2 l/min (if and the indications
wellness applicable)  Encouraged daily exercise
 With Foley catheter attached to urine  Instructed daily wound care (if
bag, with 300 cc urine output, amber in applicable)
color (if applicable)  Discussed the sign and symptoms of
 Verbalized willingness to learn more infection (if applicable)
about health  Instructed hot zits bath (if applicable)
 With breast engorgement or fullness  Encouraged breastfeeding
and symmetrical  Eating healthy food that are rich in
 Uterus at midline vitamins and minerals
 With relax bladder  Discussed importance of follow-up
 No bowel movement for 2 days check up
 With lochia rubra, with no foul odor R > patient verbalized health teachings
 With episiotomy, status post given.
episiorrhaphy (if applicable) Or
 With dry and intact dressing to the  Patient was able to enumerate the
abdomen, supported by abdominal health teachings given.
binder, no signs of infection noted (if
applicable)
 With vital signs as follows: T-?, RR-?,
PR-?, BP-?
A > Established rapport
 Assessed patient condition
 Assessed willingness to learn
 Assessed ability to understand or
knowledge
 Rendered comfort measures such as:
o Assisted patient in activity of
daily living,
o Assisted in position of comfort
 Perineal care done