General information Teaching 1772

Charting language
SN reviewed patients medication with primary caregiver and instruct on medication compliance to better control the patients disease process. SN refilled patient’s medication box for daily routine implementation during visit. SN informed M.D. of patients elevated blood pressure and no new orders received, SN was advised to continue with patients current regimen.

Reviewed November 2017

Reviewed for general reference only. Adapt to your patient, agency policy, and scope of practice.