right pt record (pt name on top of form)
S: Subjective information related to the pt's problem, pain
O: Objective data, all the data that can be measured, where is the pain, admission, vitals (TPRBP)
A: Assessment, don't repeat info. From objective data, instead come up w/ a nursing dx w/ data, make a clinical assessment from it.
P: Patient, what are we going to do for this pt...teach, give meds (per order), etc. continue to monitor.