[dbow]

Hi,
I am a new grad and a new nurse I need help finding a worksheet that will help me quickly and accurately take report. I have tried making my own but have been unsuccessful. Can anybody help? My email address is danielbow@earthlink.net
thanks

[timonrn]

A report sheet is a very personal tool that is all your own. We have "brain sheets" that are generic and each nurse uses it to their taste. I also work with newer nurses who have their own individual sheets. My sugg. to you is work w/ what your unit has--what makes you feel comfortable and what you feel you need to know. Trust me--in two years your brain sheet will have hardly anything on it!! Also, keep trying to make your own personal sheet--leave it on your computer and re-work it until it is what you want--there is no "perfect" prototype that I know of. (one of our last projects in school was the perfect report sheet--we actually got graded on this)!!

[plumrn]

If you have computer charting or computer generated kardexes you can run a copy of your pts kardexes,staple them together and use a highlighter for important info.such as allergies,IV fluids,labs due,etc..Take report in 1 color ink and write your shift assessment,vs's, etc in another color.You have everything you need right there with you at all times.(These also have all the meds listed.)Add new orders to your kardex copy as you go and its a breeze to give report from.It's more difficult if you're in charge though because its just too much paper to carry with you.Hope you find this helpful.

[lv2ski]

You eventually develop your own routine. I automatically place stuff in a certain order on my little sheet, with lines dividing ea. pt. I also use a multi-color pen. red for important stuff i.e. allergies, code status....green for stuff I've done and need to chart.....it helps alot. good luck.

[acarlrn]

hi, I am interested in the response from plumrn. I too work at a hospital that has computerized charting format. I am interested in discussing the pros and cons of computerized charting with you if you read let me know if you would be interested in this dicussion.

[OhioCAPDNurse]

Glad you asked this question!!!! Recently on another nursing board, I asked the other nurses to email me a copy of the brain papers they use at work. Only got a few responses, but have a collection of about 4 or so. SO If you all would be so kind, email me a copy of yours, I will make a collection, and email copies to whoever would like them. Or if you would like what I already have, let me know. Please send your Brains to Chell1976@aol.com

[rebelwaclause]

dbow...You've got mail at earthlink.com
OhioCAPDNurse,...You've got mail at aol.com

[debRNo1]

I just started on a med surg unit and these "reports' are an issue for me, coming from LTC Im not used to this.......

I didnt care much for the ones they use- just too busy for me with alot of nonsense space. One nurse had one that fit all pts on one sheet-tried it-just too cramped for me. I kinda played around and made my own but had trouble doing it/fitting it on the computer so I just played with it (cutting and pasting like I was in kindergarten!) till I liked it and made a bunch of copies. Guess it is an individual thing and I use the colored pens and "checkoff" boxes for things I need to do. Its good when charting time comes because its all there and I wont forget to write something
(I hope)

Usually have 6-8 pts and I can fit 3 on one sheet. Rm/name/age/dx/loc/diet/activity/MD
IV site/date/solution/rate
checkoff box for meds (with the times) PO or IV/ABT/PRN/pain
skin/lab/tests/PT/other (left some room to write whatever....)

last I have a checkoff list to make sure Ive done it all.
assessments/meds/notes/orders

Used it yesterday for the first time and it worked well.

But Id be interested in what everybody else is using, cant email mine its on real paper-could fax it I guess ???

deb

Michelle please send me the ones you have.......

debRNo1@aol.com TY

[NS_RN]

For some unbeknownst reason to me, the bullies on my floor insist that we take report on all 34 patients!!! Drives me nuts. Even though I am assigned to only my bunch I hafta sit thru a lengthy taped report on all 34. Anyhooooo, I digress.
Our report sheet is a long piece of paper with just the room numbers on them. Thats it. A blank space by each room number, so you can write in your own info.

[meownsmile]

I do a senerio similar to plumRN. Take report in one color, write new orders and things to give in report in another. I make 3 columns on our computerized Kardexs and use the first one for recieving report(usually in red), middle for patient changes or new orders during shift,, and 3rd for anything i need to tell next shift coming on(in black)last vitals, last pain meds, I/O, etc. So i basically give report off of the 2nd and 3rd column. If there is anything from AM report that i need to pass along i usually star it or circle it in black. I usually try to keep it short sweet, i dont go into the breath sounds etc., only if there has been a cardiac change or an extreme change in a system on that shift.