Brain Sheet - page 2

by porkey2 10,475 Views | 26 Comments

Happy New Year allnurses! I will be starting my new job in a 23 hour observation unit and was wondering if anyone had a good brain sheet or any type of organizational tips I could use to help me with the whole process. Im very... Read More


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    I suppose the sheet she is looking for is for the "observation unit" she will be working in. I don't see how this is ER related, I also don't use sheets in the ER.
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    My ER has an OBS and I've worked nights there randomly. Depending on what you use your's as, because ours is for mainly CP OBS, URI holds and admit holds, will change what will be useful to you. As our OBS deals a lot more with orders as well as computerized systems, you could try what I do and basically just put a little cheat sheet on the front of each chart saying what that person will need at 1900, 0000, 0600 etc. For example, pt 1 may need 6 hr troponin level, EKG, and to place stress test consult with cardiology, then pt 2 may need to be seen by resp for abg's on RA with VS at 20:00 etc. Our ED floats/rotates nurses to OBS so I'm usually ED, but I can tell you be ready for a switch and a lot more paperwork and orders checking.
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    Thanks a lot everyone, I appreciate yall comments. Yeah, I suppose I'll c what works for me, looks like there really isn't anything standard as far as brain sheets go. I will be going on the floor next Tuesday, so, of course I'm trying not to freak out. I will only be on days for two weekends, then I go on nights, not sure for how long, but do you guys think 2 weeks is long enough on days?
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    Am I the only one out there that has no idea what a brain sheet is? I'm assuming it's some kind of organizational thing, but I've never heard that term before. Can someone be so kind to explain it to me?
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    Quote from LalaJJB
    Am I the only one out there that has no idea what a brain sheet is? I'm assuming it's some kind of organizational thing, but I've never heard that term before. Can someone be so kind to explain it to me?
    It is an organizational tool for keeping information on your patient together. It may include any variety of things depending on the unit and what is needed.

    It can include data from report, assessment data, VS, accuchecks, etc.

    They are usually a typed form and you fill in data throughout the day. Some enjoy a typed form, others just use a piece of paper and scribble. If you use the search box in the upper right, just type "brain sheet" and you will find a wealth of them. Esme12 has a number of them that she often provides.
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    Quote from LalaJJB
    Am I the only one out there that has no idea what a brain sheet is? I'm assuming it's some kind of organizational thing, but I've never heard that term before. Can someone be so kind to explain it to me?
    Maybe "report sheet" is a term you are more familiar with?
    LalaJJB likes this.
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    I have one that I used in the ED all the time...it's stored on my work computer, so I'll send it to ya when I get back in on Saturday
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    I just started in er (minor care to begin, then hopefully advancing to the main er in a year or so) after working a rehab type setting. I loved my brain sheets but quickly learned the way I used to do it won't work in this setting. I started using a blank piece of printer paper folded into fourths (fits perfectly in my pocket) and whenever I go into a pt room, enter X-rays labs whatever, I document the time on the left side, pts room number and initials and any info I want to remember for charting. Once I chart it I cross it out with a yello highlighter. Just an idea
    NurseNightOwl likes this.
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    I see that you are working a CDU...a clinical decision unit. There are CDU's that are adjacent to the ED in many ED's I have worked. You will need to be highly organized......for there will be almost hourly labs for cardiac rule out etc......You will need brain sheets.....organization is key!

    brain sheets.......here are a few.

    mtpmedsurg.doc
    1 patient float.doc‎
    5 pt. shift.doc‎
    finalgraduateshiftreport.doc‎
    horshiftsheet.doc‎
    report sheet.doc‎
    day sheet 2 doc.doc
    ICU report sheet.doc‎

    critical thinking flow sheet for nursing students
    student clinical report sheet for one patient

    I have made some for nursing students and some other an members (daytonite, RIP) have made these for others.....adapt them way you want. I hope they help
    pmabraham likes this.
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    I used a brainsheet on the floor, but I had a fairly stable group of patients (6 on average with a turnover of half of them qday) and the reason why I used it was for report. Since I discharge so many patients without transferring them to another nurse a sheet like that would be kind of pointless and a waste of time.
    hiddencatRN likes this.


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