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
-
Continue monitoring vital signs every 4 hours.
-
Assist patient with mobility exercises.
-
Administer evening medications as scheduled.
-
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]
