[Rebecca1966]

Hello,

I am a very new Nursing Coordinator for a very new acute Inpatient Rebabilitation Center. Our unit has been open since Aug 3 and I have been here 3 days. Before I was hired, there was no nursing leadership, only the Program Manager, who is a PT.

I will start by saying that I am not a rehab trained nurse, and unfortunatly, we have only one out of 20 of our nurses that have worked in rehab previously.

Because there was really no one to do bedside training for the RN's (besides the consultants who helped open the unit and they did very little "How to be a Rehab Nurse" type things") they have fallen back on what they know, which is acute care.

As a first step in the process of pulling them toward more rehab nursing, I thought I would start with end of shift report. My thinking is that if they give each other the correct information they are more likely to start thinking that way and be more able to have better teamwork with the therapy staff.

I am hoping that someone would be willing to share their end of shift report template, or share what is on yours besides the normal physical assessement.

Thanks very much.

[MNlpn]

We keep our report as brief as possible. We include the following in our shift report. 1. Pain, 2. Transfers (how much assist pt needs) 3. ADL's, 4. Abnormal labs and VS, 5. Pt. teaching needs, 6. Bowel & Bladder issues, 7. Safety precautions (ie fall precautions) 8.Skin integrity issues. We don't pass on any unnecessary info such as the info on the kardexes or info the nurse can find in the computer. After the on coming shift listens to report they are to come find us if they have questions and to check for any updates.

[oregonchinamom]

Originally Posted by MNlpn

We keep our report as brief as possible. We include the following in our shift report. 1. Pain, 2. Transfers (how much assist pt needs) 3. ADL's, 4. Abnormal labs and VS, 5. Pt. teaching needs, 6. Bowel & Bladder issues, 7. Safety precautions (ie fall precautions) 8.Skin integrity issues. We don't pass on any unnecessary info such as the info on the kardexes or info the nurse can find in the computer. After the on coming shift listens to report they are to come find us if they have questions and to check for any updates.

Thank you, this is helpful.

[1studentnurse]

The biggest thing for rehab, no matter where you go, is usually bowel, bladder and skin.

As long as you cover those in your report you should be good. Our rehab hospital uses the patient care profile to do report. Most everything is on there.

We also verbally pass along anything unusual (pt likes or dislikes, IV times, labs drawn and results if available, etc.)

[Flame_07]

I work the night shift on a rehab unit, and I like to know how the pt transfers, if they are incont or involuntary, what went was said on staffing day, expected discharge date and the goal. With diet I want to know if they are on honey thick or nectar thick liquid.

We have a tool called the SBAR if is a form that is broken up to Situation, Background, Assessment, and Recommendations. I fill these out at night and they can be used to give end of shift report.