Published Mar 30, 2006
changeseeker
12 Posts
Can anyone share with me their daily assignment sheets and care directive sheets?
For the daily assignment sheet, I'm talking about the sheet that tells the CNAs who their patients are and what they have to do for them during their shift. I feel our current one lacks vital information.
For the care directive I'm talking about a sheet that is done on admission and it put in the chart and also inside the patient's closet door. It tells us how the patient ambulates, their diet is etc.... Again, our current tools is lacking vital info.
We seem to have a communication problem at my SNF and I'm trying to find ways to improve it. Appreciate any advice or tools you can offer me.
CapeCodMermaid, RN
6,092 Posts
You could look in a Briggs catalog. They make a form for almost anything. We are using a relatively new CNA care plan...one page with all vital information on it...do you have a fax #? I'd be glad to fax you one.
angelrun1
9 Posts
can you send me a copy of this too?
:nuke:
Daytonite, BSN, RN
1 Article; 14,604 Posts
At the last LTC I worked at I had a group of sheets I used to do this, but I don't know where the hard copies of them are. The computer files got deleted by a computer repair guy who was supposed to be fixing a problem with my laptop. (Can't tell you how sick I was when I discovered he did that.) Anyway, I can tell you how I did them. I figured out what the patient assignments would be for each number of aides I might have a shift. I made out a nice grid for that number of aides: 3, 4, 5, or 6 that had their assignments broken down by the room numbers and included the showers they needed to do and their little extra assignments (clean the shower room, break room, dirty utility, etc.) as well as their assigned break and lunch times. I would copy the one being used for any one day and place it in a heavy plastic sheet protector which I could tape on top of the nurses station desk. I could write the names of the aides assigned to each of the patient groups on top of the plastic sheet with a black crayon. That way, anyone passing by the desk could know by looking at this sheet who had which patient and what time they were on a break.
I had a separate page of specific information for each assignment that I could give to each aide. Each page had the actual names of the patients and the pertinent information about vital signs, activity, and that kind of stuff. Because we had a copy machine I could easily copy these off and give them to each aide. It wasn't as hard to do these as you would think. Copy and paste commands on the computer become your best friend when you are creating multiple sheets like this. These sheets I had to keep updated frequently. This is why I kept them in a notebook that I could take home with me. Each of the pages was in a file on my computer that was easy to access and edit.
I kept the original hard copy templates in a 1/2 inch three ring notebook I carried back and forth with me to the facility. I kept it locked in my medicine cart at all times because of the patient information in it. At any time I could pull it out and make notes on pages to later put into my computer files.
We also had legal sized templates on clipboards that were kept at the nurses station which were for the aides to put information like vital signs, I&Os, blood sugars and weights on. They were also typed up and kept current with the correct patient names and room numbers. They were color coded for the shifts: blue for days, green for evenings, and pink for nights. You could see at a glance what had and had not been done for your shift. Originally, our medical records clerk was keeping those up, but they were often getting so out of date that I just took the project over and updated these every 3 or 4 days so they were always current.
I also had templates for printing labels for each patient's drawer in the medication cart. What I found is that if you decide to take over the organization of something like this, don't expect others to keep it going. Most of the time you'll end up putting a lot of your own time into it. However, if you're like me, things have to be organized. I cannot work in a disorganized mess. I was a bookkeeper before I went to nursing school.
NURSEPENNEY
2 Posts
Could You PM me?
DSD
Hello I'm new here but I have one that we put in the closets of the resident that tell everything about the resident and If you are still intrested, you can email me your phone# and orreally a fax I will send it to you and we have assignements sheets also how may beds do you have DSD
brendamyheart
304 Posts
Can anyone share with me their daily assignment sheets and care directive sheets? For the daily assignment sheet, I'm talking about the sheet that tells the CNAs who their patients are and what they have to do for them during their shift. I feel our current one lacks vital information.For the care directive I'm talking about a sheet that is done on admission and it put in the chart and also inside the patient's closet door. It tells us how the patient ambulates, their diet is etc.... Again, our current tools is lacking vital info. We seem to have a communication problem at my SNF and I'm trying to find ways to improve it. Appreciate any advice or tools you can offer me.
Becarefull about posting information on the closet door. It might be a HIPPA violation. We use a CNA book that tells the CNA what the resident needs for ADL'S
nrsbetrn
50 Posts
Would you fax me a copy also?
nurseangel31_03
18 Posts
We have daily plan of care sheets. they are filled out on admission and updated with changes in there daily care. there is a notebook to write all the changes in and we have a signing sheet for each resident that when cna signs daily it means they have given all care as outlined in the daily plan fo care
MrsStraty
65 Posts
We use Resident information sheets, which the CNA's get a sheet for their group everyday. They are updated by myself, the unit manager a few times a week. Also on the assignments sheet they jot down the vitals, sign for their showers and weights. Their accountability books have the BM and adl info they sign for.
Carlissa
nonanna
can you send me a copy of this too?:nuke:
Can you e-mail me one too
Thanks
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