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
Usually have 6-8 pts and I can fit 3 on one sheet. Rm/name/age/dx/loc/diet/activity/MD
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.
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 ???
Michelle please send me the ones you have.......