To ensure that patients receive the right care, nurses keep thorough records of their patient's health. The majority of nurses start this process by asking patients about their medical history in order to learn about any relevant family medical history, present medications, past diagnoses, and surgeries. They could also take the patient's vitals and inquire about any symptoms they may be having right now. A nurse may be in charge of updating the patient's medical record if they receive a new diagnosis, prescription, or treatment plan during their visit. In order to guarantee that patients receive the best care possible, it is imperative to maintain thorough and accurate medical records. With a doctor's order, the majority of nurses are able to give their patients medications and treatments. They could also assist in creating a plan of care for their patients. It's possible for specialized nurses, like nurse practitioners, to write prescriptions for medicines without a doctor's consent. Nurses may assist with a variety of medical procedures, such as catheter insertion, bandage changes, and wound cleaning and dressing. Additionally, nurses may help doctors with more complex procedures or provide emergency care for patients who are in critical condition.

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