Nurse's Notes

[NursingStudentHelp]

When I had my clinical at the hospital, I carried tons of papers on a clip board or a small note pad, but these are cumbersome, easily disorganized, and could cause cross-contamination. My last clinical period I noticed that a lot of nurses had single pre-made sheet of paper they made notes on. It was good enough to accomandate all their patients. I'm having trouble making mine. I don't know what I should have on it or shouldn't. Or the best way to save space. Or even the program to use. Can anyone help me create my own or post some templates.

[chicookie, BSN, RN]

ah the nurses "brain"

I fold a sheet of paper twice so I have 4 squares. Each square is for each patient.

I used a tip I saw on here. I write everything like history, name, allergies, etc in pencil. (the things that aren't going to change)Then in pen I write the important stuff like labs that need to be checked, no blood patients, npo. At the bottom of the page I put med times just like 7, 9, 12, 14.

Usually I have one square left over and I use that as a to do list. I use a pencil so I can remove and add stuff.

I would check on here. There was a thread not too long ago call how do you organize your brain that had like templates and other tips.

[chicookie, BSN, RN]

oh I found the link:

https://allnurses.com/first-year-after/how-organize-your-232280.html

[geocachingRN]

Along with the quad-folded paper, I also use a 4 color pen, Report from nurse and labs, blue; stuff on my shift, black; To do reminder, green; and report hand off notes, red. I got this from my excellent preceptor.