Giving Report

I made my own report sheet that I use. I usually write the report that I recieve in black, and add my assessment and updates in red. I make a double sided copy, so I don't have a bunch of papers in my pocket...one side for each patient. I'm going to try to attach a copy for anyone to use...if it doesn't work, send me a message and I can email it to you. I hope this helps!

here's the one i use...

The report is now called 'SBAR' -Situation,Background,Assessment, Recommendations-that's how your report should flow to anyone involved in your patient care and is now required for Joint Commission. Since we are in a critical care forum, SBAR is expected from you and is being encouraged. It just keeps you focused on what is important.
eliza

I'm usually the one that hates acronyms but I think ISBAR is a good one. Identify: the need to give reort to a colleague a doctor, whoever.
Situation: change of shift, pt gone bad, what you are actually calling about or who you are caring for.
Background: Just the facts maa'm!, history of present illness, what makes this call or report so important.
Assessment: We can't care for what we don't know! Vitals, uop, readings, monitor, meds, gtts...you be the judge!
Recommendations: I love this one...what you want or need to care for this pt. Don't sugar coat it and don't waste yours, the pt or the md's time.
Giving report and calling an MD are stressful but meaningful learning ops! As the doc afterwards what he likes to hear and your colleagues! Go getem!