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In this tutorial, the focus is on writing progress notes in nursing. The lesson covers the types of progress notes, essential information to include, and key points to know before writing one. A progress note is a documentation of a patient's medical status, detailing assessments, care treatments provided during a shift, and the patient's progress and response. The goal is to create a chronological narrative of the shift, noting any issues encountered. An example of a progress note includes the date, time, and a summary of the physical assessment, vital signs, patient alertness, and any complaints, followed by the nurse's signature.
