Inpatient Psych Brain Sheet

  1. 0 Hello all, I was wondering what kind of "brain sheets" you typically use in inpatient psych. I am considering making a brain sheet on Excel and was wondering if you have samples of your "brains" to share?
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  3. Visit  LadyLovelilocks profile page

    About LadyLovelilocks

    Joined Jan '12; Posts: 25; Likes: 13.

    8 Comments so far...

  4. Visit  will-b-an-RN profile page
    0
    Quote from LadyLovelilocks
    Hello all, I was wondering what kind of "brain sheets" you typically use in inpatient psych. I am considering making a brain sheet on Excel and was wondering if you have samples of your "brains" to share?
    I really need this too, Im a new grad and just got hired in a PRTF. I need to get organized. Please help!
  5. Visit  gogirlgo profile page
    0
    What is a brain sheet?
    Just curious.....it must be an American thing.
  6. Visit  PRNketamine7 profile page
    0
    When I worked in psych we just printed out the unit census and took notes on there.
  7. Visit  MrChicagoRN profile page
    0
    Quote from gogirlgo
    What is a brain sheet? Just curious.....it must be an American thing.
    I had to look it up. Over 25 years experience and never heard it anywhere else but here.Seems to be a preprinted fill in the blanks report sheet.We have a census sheet with name, age, medical & psych docs, LOS, precautions, password. The rest is an empty space that requires one's own brain to decide what is relevant & needs to be written down.
  8. Visit  Meriwhen profile page
    0
    I don't really have a brain sheet. I just make a list of what needs to be done as needed and through the day strike off/add things as necessary.
  9. Visit  AtivanIM profile page
    0
    I made a very detailed "brain" sheet and I never use it, I don't have the time! You may find it helpful to make a word doc. with a column for Name/Room #/Diagnosis/MD/ and med times that can be circled.... ex: 0700 0800 0900 1000 for your entire shift.
    Plus, it's always helpful to have a spot for PRN meds, especially when you have drug seekers, to remind you it's time to pull the Oxycodone and assess for pain Q4...
  10. Visit  Elladora profile page
    0
    I have a sheet I print each shift that has two columns which I then fold down the middle. Column 1 (side 1) has the names of all of the clients that have 1700 meds and column 2 (side 2) has the names of all of the clients that have HS meds. I have roughly 15 blank lines below each list where I jot down notes and such throughout report and throughout the shift. At the bottom of the sheet on side 2 is a list of clients that I am responsible for charting on with a small blank line behind each. I have my own shorthand I use in this area to make notes for charting. (inc - incontinent, incBM - incontinent of BM, hosp - hospitalized, a check mark for anyone on checks, NS if they didn't eat supper, NM17 for didn't take meds at 1700, NMHS for didn't take meds at HS, cream - this is the odd one, anyone that has a prescribed cream we have to administer OR someone that needs wound care, this reminds me to write a skin care assessment when I chart) and prn for anyone that took a prn).

    The issue with my sheet? It would make very little sense to anyone else trying to use it. I came up with after months and months of tinkering but it works for me and it works well. I can fold it in half again and stick it in my scrub top pocket and carry it around with me. The blanks are useful to keep track of things I need to follow up on, supplies I need to order, emails I need to send, etc. Each sheet is dated and stuck in a folder in my locker. I can go back and double check something if I need to.
  11. Visit  Mandychelle79 profile page
    0
    My brain sheet is basically the sheet I use for my admissions and my 1 to 1 sessions. One nurse passes meds to all the patients on our unit so I dont put meds on it.

    Basically my sheet has

    Pt Intials ( so I can remember who they are),
    Mood, SI/ HI, Affect, Thought Process ( any halluncintaions, racing thoughts, delusions, etc), sleep, appetite, any physical issues and then I have an area where I can put little note ( +si, is there a plan, if so what is it) pretty much it becomes my charting later.


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