Just curious, does your facility use an electronic medical record system? And if so, is it one that prints off orders on assigned treatment areas? My facility uses Emstat (planning to switch to epic this year), and as an order is entered on a patient, a little receipt pops up on the printer assigned to the nurse caring for that patient.
I have ADHD and literally have to write everything down to remember it but this system saves me so much more time b/c I can carry the order slips with me and by prioritizing them based on each patient's acuity, whether the order is urgent, and my handwritten patient assignment/info/needs etc.
My personal patient organization sheet is pretty simple & consists of what info is important for me to know. At shift report we print out a list of the patients assigned to each nurse's area (also a function of emstat EMR), that lists each pt's name, MRN/DOB, room, chief complaint, assigned physician, length of time in ER aka TID, and dispo if one has been made.
Under each pt's name I write a slightly more descriptive list of complaints (if the chief c/o is abd pain & the pt says it's epigastric/pelvic etc plus any associated symptoms i.e. N/V/D), most current VS, blood glucose etc, what IV access I have/IV fluid rate, pertinent meds given by previous shift RN (BP meds/insulin etc so I know when I need to check the pt's response to them), a brief medical history if relevant (hx: CHF,COPD,MI,CVA), and lastly, only the abnormal lab results or those pertinent to treatment plan.
I know it seems like an awful lot to write for each patient, but I have all sorts of abbreviations & symbols that I use considering that I may have 5-10 acute care patients & my sheet only gives me 1.5in x 3in of space to write this all in. I can try to write an example but it won't be exactly the same b/c of typing, but here goes..
Smith, John 65/M C/O: DIB MRN:543513135 Dr. A. Davis TID:3hrs
c/o CP SOB w/Pr cough(grn),fvr x3d VS:166/90 108 22 38.2 90%RA
hx:COPD,asthma CXR: RLL pneumonia
20g RAC NS@200/hr WBC 22k CO2 55 trop 0.07 lact 4
|_| draw bld cxrs x 2, alb/atr neb tx x 3, 1g tylenol, IV ABX
^ thats supposed to be a lil checkbox i make myself so i know what still needs to be done, then I check it off as i do it.
Keep in mind that not every pt will have such extensive work up, so it doesn't take me that long to write out my sheet at the start of my shift, and as pts come and go I continuously update my list so that regardless of where in the ED I am or whatever situation may occur (pt coding/seizing etc), I will have my pt's info without having to access a computer/chart.
Hopefully this will give you some sort of direction for creating your own system