Quote from teener629
I'm in my last semester of nursing school and would like to draw up some paperwork I can use to organize my day. I've read that some of you call this your nursing "brain", does it have any other common names? (I wanted to download one from google but can't describe it well).
Does anyone have other documents they use periodically or regularly besides their "brain"? I'm thinking I'd like to make a special one for some special patients (i.e. a special neuro shift organizer with neuro reminders).
Even better, does anyone have an electronic copy of their forms they can email me?
Thanks so much for your time and help!
My "brain" may vary from your "brain." Depends what you consider important data. I made a form on word.doc. Use abbrev or symbols that you're comfortable with so that you can just circle rather than writing it every time.
You can make columns / table to fit what ever your assignment (eg number of patients). You will keep streamlining your form until you find the "right fit" for your "brain."
My "brain" includes:
Room #, pt name, age/M/F, diagnosis (MD name if needed).
Diet NPO TF (eg NG, GT, JT) Act
VS + Pain level.
Treatments: NG - suction, drains (eg Hemovac, JP, penrose)
Dressings (eg DSD, W - D, wound vac)
Meds (you could write out the times of your shift, then circle as needed).
[Example: 07 08 09 10 11 12 13 14 15]
Tests [for your shift] (eg lab, x-rays, PT/ OT, etc)
Comments (eg important info to remember or pass on to next shift)