Day Shift Nurse Report

Day Shift Nurse Report


I. Nurse Information

Your Name: [Your Name]

Your Email: [Your Email]

Your Company Name: [Your Company Name]

II. Patient Overview

  • Date: January 1, 2050

  • Shift Time: 7:00 AM - 7:00 PM

1. Patient Demographics

  • Patient Name: John Smith

  • Age: 65

  • Gender: Male

2. Medical History

  • Hypertension

  • Type 2 Diabetes

  • Previous Stroke (2015)

III. Current Condition

Time

Vital Signs

Nurse Notes

8:00 AM

BP: 130/85, HR: 78, Temp: 98.6°F

Patient in stable condition. No complaints of pain.

12:00 PM

BP: 128/80, HR: 75, Temp: 98.7°F

Patient had lunch, tolerated well. Resting comfortably.

4:00 PM

BP: 135/88, HR: 80, Temp: 98.8°F

Patient took medications. No new symptoms.

IV. Medication Administration

  • Medication Name: Metformin

  • Dosage: 500 mg

  • Time Administered: 8:00 AM

  • Nurse Notes: No adverse reactions observed.

V. Care Plan for Next Shift

  1. Continue monitoring vital signs every 4 hours.

  2. Assist patient with mobility exercises.

  3. Administer evening medications as scheduled.

  4. Prepare patient for doctor's visit at 3:00 PM.

VI. Contact Information

Your Company Website: [Your Company Website]

Your Company Social Media: [Your Company Social Media]

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