[LilyNHRN]

Hi all,
I am a RN Student who is looking for a great form to use as my brain. So I am able to track all my information neatly and accurately and be able to read off my report orderly. Thanks for the help.....

[Slobgob]

Let me see if I can do this from memory... its pretty standard... 3 columns per pt, and 2 pts per side of the paper...

Column 1
Name/Age/Sex
Dr
Dx
Hx
Allergy
Code
I/O
Diet
IV location/guage
IV Fluids
Labs: Chem 7, CBC.. (fishone diagrams)
Wt/Ht

Column 2
Neuro
Cardio
Resp
GI
GU
Skin
Musc
Pain/Psych

Column 3
General stuff I want to add from report
Things I need to remember to report to MD, etc
Things that need to get done.
Special occurances, verbal/telephone orders.

That's the basics... though, its not what the form LOOKS like... its what you put on it... =)

[RNKay31]

Wow that's a great way to remember, all the best

[ashley_michelle]

We usually print out our kardex's and then I highlight name,room, dx, activity, diet, MIVF, scheduled meds and any new orders that are on there for my shift.

I usually write whatever I need to from report on the top of each pt kardex..

then I make a cover sheet... I have 6 boxes on one sheet... one for each pt. I have the room # in each corner.. And then in the boxes I have meds with the times they're to be given ( and a place to check things off ) any drains,tubes,dsg changes, flushes, finger sticks, and any other routine things I need to do or check during the night. If its not checked off.. it reminds me that still needs done. =)

Then if i need to refer to my kardex, its all there. =)

[Adria]

That's a great question and thank you for all the replies as well! I am also a new RN and those tips will help me a lot!

[RNKay31]

My brains are fried today, just finishing working 16 hours, LOL.

[JentheRN05]

If you want a copy of my brains PM me your email address and I'll send you my brain worksheet. I have had many complements on it. I figured out how to attach my brain.

[RNKay31]

Yes Jen that is a good thing ccan you send it to me too, am having trouble keeping up with the paste

[LilyNHRN]

Thanks Jen