This customizable document, Collection of Health Status Data for Nursing Diagnosis, is taken from MCN Healthcare’s Outpatient Surgery and Ambulatory Services Policy and Procedure Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools.

Health care organizations around the world utilize MCN’s compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards.

Here is some sample content from Collection of Health Status Data for Nursing Diagnosis:

	POLICY: The collection of data about the health status of the patient is systematic and continuous. The data is retrievable and communicated to appropriate persons. PROCEDURE: Initial data collection occurs in the preoperative holding area and includes the following: Patient identification: Patient ID band checked with patient chart Patient verification when name is requested from patient/parent/legal guardian Two 2 patient identifiers used Verification of surgical site: Review of surgical chart Comparison of consent information with physician Verbal verification by...
Second excerpt:
	...of patient's perceptions and expectations Determination of patient's psychological status: Evaluation of patient's emotional status for evidence of anxiety, fear, depression, etc. Assessment of patient's expectations of surgical intervention Observation of patient behavior Determination of patient's physical status relevant to surgical intervention: Review of preoperative vital signs Observation of patient's overall skin condition Notation of physical limitations present Review...