Advanced Med/Surg project

RNPATL, DNP, RN · May 13, 2004

Have a project due soon and am at a complete standstill. The project is fairly simple but I just can't seem to get it going. The project consists of developing a scenario on 4 pts., giving report (as if they were in the hospital) and describing a problem that develops during the shift, and the actions the doctor and you as a nurse would perform.
My problem is giving report actually. Am trying to find something thorough but cannot even find one web page on the subject. Help please.

Here are some tips that might be helpful on giving report:

When I give report, I always try to give the admitting diagnosis, age and the physician's name. If the patient has consults that have been done, and has another physician following, I try to also brief the next shift on that as well as any consults pending. Continuing, I like to give a brief history on tha patient and the reason that he/she is on my unit. Then, I generally move into any problems with their shift assessment (i.e. like lung sounds, what their rate and rhythm might be if they are monitored, etc) .... once I have completed that I move on to any labs that are out of wack and report on results from tests they may have had during my shift (i.e. chest xray, etc) .... from there, I like to add any tests they are scheduled for or what is planned for the patient over the next 24 hours.

Of course, this is a very generic report, but if a patient is pre-op, then I discuss that in some detail.

Hope this helps.

thetatoochick71 · May 13, 2004

Thank you very much for your reply, will definately use the advice. Wish I would have found this place earlier in the school year.

Here are some tips that might be helpful on giving report:
When I give report, I always try to give the admitting diagnosis, age and the physician's name. If the patient has consults that have been done, and has another physician following, I try to also brief the next shift on that as well as any consults pending. Continuing, I like to give a brief history on tha patient and the reason that he/she is on my unit. Then, I generally move into any problems with their shift assessment (i.e. like lung sounds, what their rate and rhythm might be if they are monitored, etc) .... once I have completed that I move on to any labs that are out of wack and report on results from tests they may have had during my shift (i.e. chest xray, etc) .... from there, I like to add any tests they are scheduled for or what is planned for the patient over the next 24 hours.
Of course, this is a very generic report, but if a patient is pre-op, then I discuss that in some detail.
Hope this helps.