Vital signs, the results of a physical examination, and laboratory findings are examples of subjective data.
The assessment phase is the first step in the nursing process. At this point, the nurse compiles and arranges patient-related information. Information that is pertinent to a patient's health and wellbeing may include details about the patient, his or her family, carers, or the patient's community or environment.
3 Initial Evaluation for Within an hour of admission, an assessment of the patient is to be made by the RMO, the treating physician, or a member of their team (as appropriate) to evaluate the patient's immediate care needs and to choose a plan of treatment.
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