Document, in the place provided, the pt’s CC, with the information provided.
Each charting notation must be handwritten and legible. Computer generation is not acceptable.
Use abbreviations where appropriate.
List 3-5 questions that you would ask the patient to obtain a better idea of the chief complaint
Complete the “What is happening with your patient” section. This is a critical thinking exercise,
using 1) information, 2) inference, 3) assumption and 4) point of view. Be specific and detailed.