Need help when giving end of shift report

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Specializes in Mother/Baby and LDR.

I work on a Ortho Medsurg Floor. Just wanting something to help me give a better end of shift report. We record our report on voice care.

I am also still trying to make a check off list to help me out.

The care plans are printed for us when we arrive to work and I go thru them and make notes on them and write the info I receive in report on them. Then during the shift any new info I write with colored pen.

I just don't feel totaly organized? And of course I feel like I don't give enough info on report about the patient. I remember in school we had to make the instuctor visualize the pt. by what we wrote in our report. But I just don't feel like you have time in the real world.

Just wondering ....Maybe I am being lazy, maybe I just think the new nurse can see for theirself when they do their assessment. I know to give import news in the report, like changes during the day or the night before problems.

New nurse stresssssssssssss:argue: Tina

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Specializes in Med Surg, Ortho.

Have you ever heard of communicating using SBAR? We were taught to use this system when calling physicians and it's also very effective with communicating with your peers.

Here's a link with an example of SBAR:

http://www.medleague.com/Articles/medical_errors/sbar.htm

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Specializes in Mother/Baby and LDR.

thanks- Yes we was told that it would help when we talk to Dr.'s

I will look at it .

Thanks again,

Tina

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IM the same....i think maybe keep doing what you are doing and ask for feedback as a means to guide your view of the situation?

I do the same thing - keeping a running sheet of any significant events to assist in my end of shift handovers...

I just had my first day on my own as a new RN and am feeling overwhelmed and nervous about the next year - just taking it one day at a time at this point :-)

Good Luck!

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Specializes in critical care, PACU.

I made a report sheet for myself based on things applicable to my unit and included things I frequently forget. If you're technosavvy, I definitely recommend this because since it is customized to you, you can make it work for you and keep you on track.

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