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?
  2. Get our hottest nursing topics delivered to your inbox.

  3. 3,634 Visits
    Find Similar Topics
  4. 8 Comments so far...

  5. 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!
  6. 0
    What is a brain sheet?
    Just curious.....it must be an American thing.
  7. 0
    When I worked in psych we just printed out the unit census and took notes on there.
  8. 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.
  9. 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.
  10. 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...
  11. 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.
  12. 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.


Top