Narration in the Real World: Kelly Layland, “Patient Report”

Kelly Layland, Registered Nurse

Patient Report

After graduating from Monroe Community College with an associate’s degree, Kelly Layland went on to earn her LPN from Isabella Graham Hart School of Nursing, and her RN from Monroe Community College. As a registered nurse of Rochester General Hospital, Kelly writes brief narratives every day that recount all that goes on with her patients: things that went wrong and things about their treatments that need to be changed. Below is an example of one of Kelly’s brief narratives.

Karella Lehmanoff, a two-month-old female infant, is improving steadily. When she was born, her birth weight was 1.3 pounds, but it has increased to 3.1 pounds. Her jaundice has completely disappeared, and her skin has begun to look rosy. Karella’s pulse rate is normal for her development, and her resting heart rate has stabilized at about 150 beats per minute. Lung development was a big concern because of Karella’s premature birth, but her lungs are now fully developed and largely functional. Dr. Lansing saw Karella at 1 P.M. and pronounced her in good condition. The parents were encouraged, and so am I. The prognosis for little Karella gets better with each day.

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