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Need end-of-shift report sheet!

First Year   (221,379 Views 33 Comments)
by ilabooshka ilabooshka (New Member) New Member

1,127 Visitors; 2 Posts

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Hi there! I am a new RN, starting out in med-surg. Does anyone have any report sheets or patient organization sheets that you could pass on to me? Any help would be greatly appreciated, as I am still trying to figure out what works for me...

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all4schwa works as a RN.

5,447 Visitors; 524 Posts

i noticed one that i liked that a nurse was using and i got one from her and made copies.

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sonja77 has 6 years experience and works as a RN.

4,022 Visitors; 187 Posts

i work on a med/tele floor and here's the one i use. you would just need to modify it for certain common procedures/circumstances happening at your floor.

i have e.g. hd/pd (hemodialysis/peritoneal dialysis) since we have quite a few renal pts. on dialysis, or tele since we have a lot of people on telemetry.

hope that helps! :wink2:

report sheet (2 pt.).doc

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MrsMommaRN has 2 years experience and works as a floor nurse.

7,148 Visitors; 507 Posts

what an awesome work up sheet. i love it. i am saving it and taking it with me to med surg clinicals. thanks from a nursing student!:nurse:

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3 Articles; 100,182 Visitors; 14,602 Posts

This is the one I use. Feel free to download and use it.

[attach]5032[/attach]Report sheet

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1,127 Visitors; 2 Posts

Wow, thanks so much! I will try these out. :)

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Jennerizer has 13 years experience and works as a RN.

6,565 Visitors; 728 Posts

I work on a tele/PCU floor & tend to work 3 shifts in a row...so mine is a bit longer & more detailed so I can just add on updates each day. :wavey:

Jen

 

For those that are interested: my nursing journal web address is on my profile

JREPORTSHEET3.doc

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1,092 Visitors; 15 Posts

Thanks, very helpful

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6,417 Visitors; 317 Posts

Nice report sheets.....am so glad....thanks

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Otessa has 19 years experience and works as a RN.

14,563 Visitors; 1,601 Posts

I was in the Float Pool for many years so I had a generic report receiving/change-of-shift. I would do a brief run/down of all systems:

I would just put the letters that corresponded with the system:

N(neuro)--are they alert/oriented, any behavioral problems

P(pulmonary)-any breathing problems, are they on O2, RT treatments

C(cardiac)-Heart rhythm problems, chest pain, blood pressure issues

GI/GU-are they voiding or have a Foley, any constipation problems, diarrhea, blood in their stools.

Pain-any pain issues and when they last received analgesics

IV-site, rate, IV gtts/medications

Diet-are they eating, NPO

Activity-bedrest, mobility issues, fall precautions or any other precautions

It goes pretty fast once you get a rhythm going.

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mydesygn works as a Systems Analyst.

5,583 Visitors; 244 Posts

Hi there! I am a new RN, starting out in med-surg. Does anyone have any report sheets or patient organization sheets that you could pass on to me? Any help would be greatly appreciated, as I am still trying to figure out what works for me...

This is the Jot that I have used (that I take report on for my shift). It has room for 5 patients. I write my meds/treatments/feeds into the time blocks (obviously I worked nights) and I write the report I recd into the block marked report. I ususally use the notes section for something I want to remeber to say in off-going report. It is set up to be printed on 11X14 instead of standard paper but I bought a package of colored 11X14 paper which works great because I can easily find my "jot" if I left it in a room.

Are you also looking for a sheet for reporting off? Do you do a written report at change of shift.

Jot.doc

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