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Postpartum Report Sheets

Posted
by deacn deacn (New) New

Specializes in L&D,NICU,PP,Nursery. Has 31 years experience.

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. :o

Elvish, BSN, DNP, RN, NP

Specializes in Community, OB, Nursery.

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, carseat, 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 need a good report sheet that is preprinted with patient room on it and all other information so that I can speed up report in the mornings.

Could you scan me a copy if you have it, or send as a word document?

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, carseat, 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!

PinkNBlue, BSN, RN

Specializes in Obstetrics. Has 10 years experience.

That's amazing, LuvofNursing!

This is great, thank you for sharing! :yeah:

Here is my mother/baby report/assessment sheet. It is all i need when i need to call a doctor about a patient.
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