NP students: you need to log every patient you see in this “Patient Log”

NP students: you need to log every patient you see in this “Patient Log” Student: Date: Course: Clinical Faculty: Preceptor: Patient number: 1 Category Item Value Tally Client Information Site Inpatient hospital ICU Office Nursing home Subacute Inpatient Long Term Care Age < 1 year 1–3 years 4–5 years 6–9 years 10–12 years 13–18 years 19–21 years 22–64 years 65+ years Sex Male Female Visit Information Student Level of Function Intense supervision - Level 1 Some Supervision - Level 2 Joint Care - Level 3 Mostly Independent - Level 4 Independent - Level 5 Practice Management Level of visit/phys. exam New acute visit - 99203 Acute office - 99213 Chronic office - 99212 New hospital - 99222 Subsequent hospital - 99232 New subacute - 0194 Subsequent subacute - 0193 New ICU - 99292 Subsequent ICU - 99291 ER - 99284 OB - 99213 Post Partum - 99212 Delivery - 59409 Health supervision for newborn under 8 days old - V20.31 Health supervision for newborns 8 to 28 days old - V20.32 Routine infant or child health check - V20.2 Infant (younger than 1 year) well visit - 99381 Early childhood (age 1–4 years) well visit - 99382 Late childhood (age 5–11 years) well visit - 99383 Adolescent (age 12–17 years) well visit - 99384 Adult (18 years or older) well visit - 99385 Diagnosis 1 2 3 4 Procedure 1 obs asst perf N/A 2 obs asst perf N/A 3 obs asst perf N/A 4 obs asst perf N/A Student treatment plan and notes IV Medication 1 managed monitored Not applicable 2 managed monitored Not applicable 3 managed monitored Not applicable 4 managed monitored Not applicable 5 managed monitored Not applicable