[ColleenRN]

I'm moving over to ICU after being in medicine for 4 years. The nurses take report on regular loose leaf paper. I was wondering if anyone knew of a report sheet format I could use to be more oganized. Thanks Colleen

[zambezi]

Since there are less patients, I usually just use our unit census sheet (the backside is blank). I then make boxes on the bottom half and label each box with times 19-06. The top half of the sheet I write patients name, dr, allergies, code status. Next line is admit date and diagnosis. All of the pertinant info that takes just minutes to find out. Later, I peruse the chart and write history, etc. I use the right side of the paper to remind myself to relay info to dayshift, if I have to clarify something with the doc etc (example, 18 hr dose of iv amiodarone up at 900, then change to po...) this would be important to relay to dayshift. This works for me, especially since I rarely have more than two patients, but if I do have more, I use the same sheet for my others. In the individually timed boxes, I write down what needs to be done during that hour ie: meds, turn off x gtt, labs (and I write what I need to have done), check cbs, turns, etc.
Now that I have worked in the unit for awhile, I don't rely on this as much even though I still do it. It does wonders if I have to turf a patient to another rn in the middle of the night-then they have a plan and hx, etc all right if front of them (especially good if I am too busy to give a good report...) Also if one of my patients starts to go downhill another rn can check my sheet if I am tied up and make sure that any random time meds, swan numbers etc are done on time. Anyway, it works for me!

[kc ccurn]

pretty much about the same as zambezi....I have my timeline to the right with reminders if meds, blood sugar, abg's are due, etc. pt specific info to the left by system-cardiac, pulm, gi/gu then iv's. at the bottom a reminder list of things that I need to follow up on.

After a while you develop your own routine, I don't usually look at mine after I've written it down, if I write it down at all...but at least I've got it if I need it

[XYRN1]

I am going to a small CCU, but I am a person who has to have a sheet on which to write all my info, until I get to the point where I can do it without my "safety net". I have been a nurse for 1 year plus 2 mon. And I am leaving the nest of my 1st job to do and learn new things, so any help and or advise, thoughts etc that anyone has I would love to hear them all....

Thanks,

Chris

[darinda]

When I first went to CCU, I also had to have something to write my info down on and have it handy. I devised a worksheet of my own on "Word" with the info in the order that made sense to me. I quit using it quite awhile ago and now just use the back of the census sheet. I write all the info down and only refer back to it when I'm transferring a pt out of CCU or if I need to call a physician. The only REAL reason I write stuff down is because I'm one of those boneheads that remember better when I've written it down. I may not refer back to that paper the rest of my shift. Darinda

[mark2climb]

Here's one that I recently devised. It's for night shift but you can just change the times for day shift.

[cardiacRN2006]

I spent a lot of time making and perfecting my worksheet in Word. But when I got a new pt urgently, or a transfer, I just ended up writing it on a blank paper.

So that's what I do now. It's a blank piece of paper.

[Artemis2]

I have never had a formal report worksheet... the back of a progress note page works fine for me. I am in love with my colored pens, though. I can't start report without a highlighter, a red pen and a black pen. I recently bought a green pen but have yet to figure out how to work it into report. When I do though... watch out!

I also love printouts from a computer with patient info and current orders. That is where my colored pens really shine! I highlight meds, circle allergies in red and some things like stat labs get both the highlighter and the red pen! Maybe I'll use the red for report and the green for the stuff that happens on my shift. Hmmmmmm...........

[poppy07]

Originally Posted by mark2climb

Here's one that I recently devised. It's for night shift but you can just change the times for day shift.

HEY, This is a really nice one~! thanks

[yincaixin]

I don't know how to attach the report sheet . Please help .