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In this tutorial, the focus is on writing a progress note for nursing. It covers the types of progress notes, essential information to include, and pre-writing considerations. Progress notes are crucial for documenting patients' medical statuses, assessments, treatments performed, and their responses to care during a shift. The goal is to provide a chronological narrative of the shift, highlighting any issues encountered. An example of a note includes the date and time, stating that the physical assessment was completed, vitals were normal, the patient was alert and oriented, and there were no pain complaints. It emphasizes the importance of signing the note and recording any abnormal findings.
