Nursing NotesNursing notes must be concise and objective. Use the SOAP (Subjective, Objective, Assessment, Plan) format:
Pt reports 4/10 pain. Vitals stable: BP 120/80, HR 72. Wound dressing dry/intact. Administered 500mg Paracetamol. Pt resting quietly; will monitor for relief.
Would you like a template for a specific condition, like post-op or respiratory distress?

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