Patient Care Checklist/Sheet

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Hi all! I am an ER new grad and realize how important organization is with the constant turnover of patients. Does anyone have a patient care template for a sheet that they use? During nursing school, a lot of the floor nurses had sheets that worked for them but they are not not quite relevant for ER. Thank you!

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Specializes in Emergency & Trauma/Adult ICU.

"Brain" sheets are rare, almost nonexistent, in the ER because patients are ideally there for a short time, and there is no routine. Most do not get fed. Most do not get a blood sugar checked. Vital signs will not be by shift or by protocol but according to what's going on with the patient. Work with your preceptor to develop your own organization strategies.

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Specializes in Pediatric/Adolescent, Med-Surg.

I agree, when I was a floor nurse I was very organized at the way I would keep my report sheets. However, in the ER I don't really keep any written report at all on any of my pts. Some of the nurses will carry a sheet of paper and write down when they are due for vitals (q2hrs per unit policy), check off when they chart assessments, or any pending tasks they have been unable to complete. Most of these notes are only a line or two per pt.

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That's what I was thinking as well but thought it was worth a shot to ask. I usually just keep one paper where I jot down notes. Thanks so much for replying.

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I am new to the ED also (from floor nursing) and I take a blank sheet of paper at the beginning of my shift and fold it into quarters. Then I take a patient sticker and stick it on the paper and then leave about 2 in for any pertinent facts (RM#, reason seen, etc.). I can get about 3 stickers in each quarter. By the end of a twelve hour shift I am stickering on the back of the paper but have crossed out all the folks that have left. Not ideal but working so far for me.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

sigh......unfortunately...in the ED it is near impossible to make a "perfect sheet" due to the varying patient population and the fast turn over. Most ED nurses depend on these....

s0328779_sc7?$splssku$

but here are some you might try to adjust....

doc.gif mtpmedsurg.doc

doc.gif 1 patient float.doc‎

doc.gif 5 pt. shift.doc‎

doc.gif finalgraduateshiftreport.doc‎

doc.gif horshiftsheet.doc‎

doc.gif report sheet.doc‎

doc.gif day sheet 2 doc.doc

‎

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Specializes in Urgent Care NP, Emergency Nursing, Camp Nursing.
sigh......unfortunately...in the ED it is near impossible to make a "perfect sheet" due to the varying patient population and the fast turn over. Most ED nurses depend on these....

s0328779_sc7?$splssku$

That looks like my facility's official ambulance patient triage sheet...

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Specializes in Pediatric, ED.

Hi, KNRZN 2013! I'm also a new grad ED RN! I just completed my orientation and felt I needed a tool to keep me better organized and to keep track of when I need to assess which patient. I made a sheet for myself that has worked really well for me and since then, a bunch of RNs in my unit asked for copies for them. PM me and I will be happy to share a copy! Hope all is going well for you!

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Hi, KNRZN 2013! I'm also a new grad ED RN! I just completed my orientation and felt I needed a tool to keep me better organized and to keep track of when I need to assess which patient. I made a sheet for myself that has worked really well for me and since then, a bunch of RNs in my unit asked for copies for them. PM me and I will be happy to share a copy! Hope all is going well for you!

make a document and attach it many could benefit from your ingenuity!

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Specializes in ER, progressive care.

I had a brain sheet when I worked on the floor. When I came to the ED, I learned that the brain sheet isn't feasible at all. There is just too high of a turnover of patients to have a brain sheet. Therefore, I just a piece of paper...or paper towel...or alcohol swab...or dressing package. Or the whiteboard. Whatever I have that I can write on.

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I have also done this. :) Thanks for replying.

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Lizzyru,

That would be awesome! Thank you so much! I have tried many different methods but still feel like I haven't found the right tool. I get off of orientation in a few weeks. Things are going well. It is definitely overwhelming but I love what I do. Learning a lot and working with a great team. I will PM you. Thanks again.

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