Published
Our report sheet looks like a piece of notebook paper turned sideways & the lines run sideways too. Lines are a lot wider than notebk paper too. It's divided into columns. #1) Pt name 2) Dx SVD, c/s, AP, the occasional TAH 3)Doc 4) Diet 5)Activity 6) I/O (usu only if has IVF or is DTV) 7) VS/assessment frequency 8)misc. I put my baby info under #8, although I don't think it's exactly miscellaneous.
I usually divide my paper into sections by highlighting q4 lines. Gives me enough rm to write all my pt info -- blood type, rubella, if any lacs, G/P, allergies, things like that -- under the pt's name. the other stuff is kind of self explanatory until #8. That's where I write baby info -- something like breastfeeding boy (using abbrevs of course) for XYZ Peds, birth weight, & gestational age.
If Mom is on any meds, I write those in the middle in red ink so I don't miss them, & I write the times (remember there's usu lots of space with 4 lines and only 1 taken up with MD name, diet, activity, etc.
If Baby needs a bili (or anything else), that goes under the baby info.
I take the bottom 2 lines under baby info to write what the couplet needs for d/c, and what is already done. Example:
needs:birthcert, corificeat, PKU, finish teaching
done: hearing, HepB, MMR, Depo, cordclamp
Hope this helps. If it sounds confusing, I'll try to find a copy to scan & PM you.
Also, where in MI are you? (feel free to PM me with that answer) I have g-parents in the Adrian area.
Our report sheet looks like a piece of notebook paper turned sideways & the lines run sideways too. Lines are a lot wider than notebk paper too. It's divided into columns. #1) Pt name 2) Dx SVD, c/s, AP, the occasional TAH 3)Doc 4) Diet 5)Activity 6) I/O (usu only if has IVF or is DTV) 7) VS/assessment frequency 8)misc. I put my baby info under #8, although I don't think it's exactly miscellaneous.I usually divide my paper into sections by highlighting q4 lines. Gives me enough rm to write all my pt info -- blood type, rubella, if any lacs, G/P, allergies, things like that -- under the pt's name. the other stuff is kind of self explanatory until #8. That's where I write baby info -- something like breastfeeding boy (using abbrevs of course) for XYZ Peds, birth weight, & gestational age.
If Mom is on any meds, I write those in the middle in red ink so I don't miss them, & I write the times (remember there's usu lots of space with 4 lines and only 1 taken up with MD name, diet, activity, etc.
If Baby needs a bili (or anything else), that goes under the baby info.
I take the bottom 2 lines under baby info to write what the couplet needs for d/c, and what is already done. Example:
needs:birthcert, corificeat, PKU, finish teaching
done: hearing, HepB, MMR, Depo, cordclamp
Hope this helps. If it sounds confusing, I'll try to find a copy to scan & PM you.
Also, where in MI are you? (feel free to PM me with that answer) I have g-parents in the Adrian area.
I know it's been awhile since you posted this message but you sound really organized and I would love to have a copy of this report form. I normally work NICU and sometimes float to FCC and REALLY need a good way to enter all I have to do. If you can send me a copy, I would greatly appreciate it!
Here is my mother/baby report/assessment sheet. It is all i need when i need to call a doctor about a patient.
deacn
5 Posts
Anyone have a great report sheet for organizing the day? I need a jump-start for complete burn-out. I can't seem to keep up the pace anymore. I work on a mother/baby/antepartum unit and have 4-5 adults plus their babies for a 12 hour shift. Alot of discharges and transfers from L&D, and as you all know, tons of charting, and teaching. We have no ancillary help, except lousy unit coordinators, so we even have some of their work to do.