Nurse Shift Report
[Your Company Name]
[Your Name]
Date: February 12, 2051
I. Patient Information
A. General Information
B. Medical History
II. Shift Summary
A. Observations
Patient exhibited stable vital signs throughout the shift. Reports of occasional dizziness were noted.
B. Medications Administered
Insulin - 10 units at 8:00 AM
Lisinopril - 20 mg at 9:00 AM
Metformin - 500 mg at 12:00 PM
III. Nursing Care
A. Interventions
Assisted with morning hygiene and dressing
Monitored blood glucose levels pre and post meals
Provided dietary recommendations per physician's orders
B. Patient Education
Discussed symptoms of low and high blood sugar
Emphasized the importance of medication adherence
Reviewed proper use of a glucometer
IV. Upcoming Care Needs
Monitor blood pressure every 4 hours
Administer evening medications at 6:00 PM
Prepare patient for a scheduled MRI at 11:00 AM, February 13, 2051
V. Communication
Reported observations and upcoming care needs to the oncoming nurse, Sarah Smith, at shift handover.
This Nurse Shift Report was officially written/prepared/created by: [Your Name]
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