My Report Sheet

My 2-Patient Stepdown Report Sheet!

The report sheet that I have been using and updating since i became a nurse! Each sheet has sections for 2 patients and each section is divided up by system! System sections include

- Patient name

- Age

- Room #

- Code Status

- Allergies

- Admit date

- Admit reason/Diagnosis

- Team

- Isolation

- History

- IV access and IVF

- Neuro

- Respiratory

- Skin

- Pain

- Medications

- Cardiovascular

- GI/GU

- Labs/Imaging/Results

- Plan/Notes

- Diet

- I/Os

- Fluid Restriction

- How patient takes their pills

- BG checks

- Patient Activity

- Vitals/frequency

- Telemetry needs

- DVT Prophylaxis

- Last BM