Clinical 'cheat sheet'

I think the look of your cheat sheet will depend a lot on what you will be doing in clinical. Are you doing assessments and/or administering meds? Do you have more than one pt? I like to have the basic pt information with me (dx, med hx, allergies, code status, activity level, diet) and I leave specific areas to document my vitals and other assessments. If you have access before hand, it can be helpful to document your pt meds and what time they are administered (a mini MAR).

If you have multiple pt's, and you are concerned about time management, it can help to have a schedule outlining the tasks you want to accomplish. None of this information requires much space. I have it all on a single sheet. I hope that helps. Try not to stress too much, clinical is a great experience!

Thanks for the tips, as well as your uploads!

This is my "cheat sheet" for my med/surg pts. I have only balanced caring for 2 pts at this point, so my day organizer sheet is built only for two pts. My pt assessment sheet is meant for one pt/sheet.

Two pt worksheet.doc

Pt Assessment Tool.doc

These all great "cheat sheets"! I wish I saw these earlier! Thank you!!

Excellent information, thank you for sharing!! :)

One thing I like to have is a copy of the NANDA nursing diagnoses for my write-ups. That way I'm thinking about my write up, and able to provide care based on the nursing diagnosis for that patient. It's helped my write-ups!

Just what I needed, thank you!

A bit late for this poster, but NANDA-I 2012-2014 is the only "list" and it's $29 and free 2-day delivery at Amazon, or $25 and instant delivery to your Kindle or iPad.

No, just the list of dxs is not enough. I see students using nursing dx that cannot be justified by the mandatory defining characteristics and related/causative factors every day of the week. Get the damn book and do it right.

Sorry, long day. . .

This helps out so much thank you!!!

On 3/27/2013 at 6:22 AM, Esme12 said:

Here are a few......Good Luck!

I have made some for nursing students and some other an members (daytonite, RIP) have made these for others.....adapt them way you want. I hope they help

MTPMedSurg.doc

1 patient Float.doc

5 Pt. Shift.doc

FinalGraduateShiftReport.doc

horshiftsheet.doc

Report Sheet.doc

DAY SHEET 2 doc.doc

ICU report sheet.doc

Student Clinical Report Sheet.doc

Aww daytonight. Miss her!

This is so helpful!