Free Charge Nurse Brain Report

Report Prepared By: [Your Name], Charge Nurse

I. Patient Information

II. Clinical Updates

A. Patient Conditions

• John Doe: Stable, improving with current treatment.

• Jane Smith: Recovering well, pain under control.

• Alan Brown: Monitoring fluid balance closely.

• Emma Davis: Gradual improvement in mobility.

• Michael Lee: Stable, responding well to nebulizer treatments.

• Olivia Clark: Blood glucose levels are stabilizing with the new insulin regimen.

• Sarah Williams: Responding to dialysis, urine output improving.

• John Johnson: Hemodynamically stable, fever reduced.

B. Recent Changes

• John Doe: Decreased oxygen requirement.

• Jane Smith: Transitioning to oral pain medication.

• Alan Brown: Adjusted diuretic dosage.

• Emma Davis: Starting new speech therapy exercises.

• Michael Lee: Increased frequency of nebulizer treatments.

• Olivia Clark: Adjusted insulin dosage based on latest glucose readings.

• Sarah Williams: New dialysis schedule implemented.

• John Johnson: The antibiotic regimen was changed based on the culture results.

C. Test Results

• John Doe: Chest X-ray shows reduced infiltrates.

• Jane Smith: Blood tests are normal, and post-op recovery is progressing.

• Alan Brown: Echo shows improved ejection fraction.

• Emma Davis: CT scan shows no new ischemic changes.

• Michael Lee: Pulmonary function test indicates slight improvement.

• Olivia Clark: HbA1c levels improving, indicating better long-term glucose control.

• Sarah Williams: Blood urea nitrogen and creatinine levels decreasing.

• John Johnson: Blood cultures negative, indicating infection control.

III. Staff Assignments

IV. Tasks and Priorities

V. Unit Summary

A. Bed Occupancy

• Total beds: 20

• Occupied: 18

• Available: 2

B. Patient Flow

• Admissions: 2 new admissions are expected today

  • John Johnson: Admitted for sepsis management

  • Sarah Williams: Admitted for acute kidney injury

• Discharges: Jane Smith scheduled for discharge

• Transfers: No transfers anticipated today

C. Resource Management

• Staffing Levels: Adequate staffing levels for the shift; float nurse on standby.

• Medical Supplies: Sufficient supplies available, need to reorder IV fluids.

• Equipment: All equipment functioning well; regular maintenance scheduled for ventilators.

VI. Communication Notes

A. Previous Shift

• Smooth handover and no major incidents were reported.

• Alan Brown’s medication dosage was adjusted as per the doctor's orders.

• Michael Lee required additional nebulizer treatments.

B. Inter-departmental

• PT department updated on Emma Davis’s progress.

• The pharmacy was notified of new medication orders for John Doe.

• Dietary informed of Olivia Clark’s specific meal plan requirements.

• The dialysis unit was informed of Sarah Williams' new schedule.

C. General Instructions

• Ensure all patient documentation is up-to-date by the end of the shift.

• Remind staff to complete patient satisfaction surveys.

• Check that all emergency equipment is ready and accessible.

• Communicate any changes in patient status to the medical team promptly.

• Ensure new admissions are settled and oriented to the unit.

VII. Emergency Protocols

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