Published
I give the admitting dx and date, iv sites/fluids and date, any problems or pain mgmt issues, and that's pretty much it. Anything else can be found in the EMR! One or two RNs act like I'm the worst just bc, well I must guess they don't like my reports because I haven't sorked with them and I haven't had a problem with nurses on my shift!
tokmom, BSN, RN
4,568 Posts
We have a template nurses have to use at bedside that they give in a specific order. It's name, diagnosis, age, pertinent history, day of stay, drains, mobility, pain, diet, etc. It ends with barrier to dc. It keeps the info consistent and interruptions minimal because people know what's coming next.