Published Jan 18, 2009
WorkingTowards2011
29 Posts
I am a new nursing student doing my very first assignment for Fundamentals- create a shift report. My instructor gave us a very informative page on shift reports, including a sample. I understand the concept and feel that I am making a good bit of progress, HOWEVER...
Although I know what I want to write, I am trying to write it in nursing shorthand, and not in normal language. But we haven't been taught that yet. I have been able to get a lot from the sample and my book, but I am stuck on a few...
How do I say that my patient is receiving a treatment of albuterol through a nebulizer every 2 hours? I don't even know how much albuterol to put, or how it is even measured. My "patient" is 19, if that matters.
I also put that "Mr. Johns has a peripheral IV intact in the left forearm, infusing 500 mg of erythromycin q 12 hrs. next dose due @1200." Does that make sense? I question whether this is worded correctly.
I have no problem looking information up for myself and I am not one of those students that expects for everything to be spoon fed, but I cannot find any basic information on nursing shorthand. Any help would be so very appreciated. I have never felt so stupid or lost.
Daytonite, BSN, RN
1 Article; 14,604 Posts
Based on the information you gave this is the report I would give:
I get the idea that this patient has a respiratory problem? I would give my short assessment of his respirtory system: lung sounds, how his breathing has been during my shift and if there were any breathing problems during my shift.
Thank you so much, DaytoNite! I already had all of the other information you listed, so I guess I am on the right track!