Day Shift Nurse Report
I. Nurse Information
Your Name: [Your Name]
Your Email: [Your Email]
Your Company Name: [Your Company Name]
II. Patient Overview
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]
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