End of Shift Report Template
End of Shift Report Template
Here are some ideas for what to include in your end-of-shift report to oncoming nurses.
Patient Info: Name, room, age, diagnosis, admitting physician
Assessment Information: Abnormals and pertinent normals for diagnosis, status changes
VS and Sats:
Mental status:
Cardiac/Respiratory:
GI/GU: (include I & O if pertinent)
Pain:
Social situation if pertinent:
IVs that are running:
Labs/Diagnostic tests: Pertinent normals and abnormal for diagnosis
(also specific timing is special tests are due)
Important medication changes or therapies:
Unfilled orders that need to be continued to the next shift:
Abnormal occurrences during shift:
Stay focused! Don’t gossip! Don’t label patients!
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