Shift patient care sheet

[Kayde]

I am a pediatric nurse. Due to low census, I sometimes float to an adult surgical or medical floor. Generally I have five to six patients that are all new to me. Would anyone be able to share their patient care sheet or any helpful ideas to keep my night more organized and less stressful? Thank you.

Please send your sheets to:

[email protected]

***make sure there is no E after Nurs---somebody already had that***

[live4today, RN]

Hi kayde

I use to work pediatrics, but now work with adults.

Just the other day, I made up my own patient summary sheets. I took a sheet of typing paper and divided it into six sections. In each section, I wrote the following leaving enough space for any documentation about each patient:

Patient............................Age..............Admit Date...........

Dx..............................Doctor...............Allergies...............

Activity............................Diet..............I/O.......................

Vital Signs....................................O2............O2sats........

Meds............................................Prns............................

Accuchecks...................................Labs.............................

Special Procedures...........................................................

Other................................................................................

______________________________________________

Hope this gives you some ideas to make your own patient summary sheets that fit the unit you are working on. Best wishes to you as a nurse!

[Kayde]

Thank you for replying. It'll be my turn to float soon.

[prmenrs, RN]

Suggestion: on the right side of the paper, draw a vertical line; divide that space into 8 or 12 (depending on the length of your shift) boxes. Write the hours into each box and enter any meds, treatments, etc., into the box of the time you plan to accomplish the task. You can also make quick notes if you're in the pts room and need to record something quick.

Also, you do these ahead of time on your computer and copy them so you're prepared before you get to work.

Lastly, don't forget to shred this paper when the shift is over.

[wbowker]

I made out a Time Line Sheet thay I use. It's like a chart w/ the times across the top and the Room #'s w/ the pt's names down the side.

That way I can just check the boxes in which the times meds are due. Then I can keep track of when Prn's and pain meds are given. Also if I had to call a Dr or the time I dc'd a foley. It's asy to just make a note in the square in correct time this happened so that I can chart it. And everything is on that one sheet. It seems to work for me. Maybe you can create a timeline of your own. What ever works for you...