CHARGE NURSE BRAIN REPORT

Report Prepared By: [Your Name], Charge Nurse

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I. Patient Information

Patient Name	Room Number	Diagnosis	Primary Care Needs
John Doe	101	Pneumonia	Oxygen therapy, IV fluids
Jane Smith	102	Post-op Hip Replacement	Pain management, mobility
Alan Brown	103	Congestive Heart Failure	Diuretics, daily weights
Emma Davis	104	Stroke	Physical therapy, speech therapy
Michael Lee	105	COPD	Nebulizer treatments, O2 monitoring
Olivia Clark	106	Diabetes Mellitus	Insulin therapy, blood glucose monitoring
Sarah Williams	107	Acute Kidney Injury	Dialysis, fluid restriction
John Johnson	108	Sepsis	Antibiotics, hemodynamic monitoring

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

Nurse Name	Assigned Patients
Nurse A	John Doe, Jane Smith
Nurse B	Alan Brown, Emma Davis
Nurse C	Michael Lee, Olivia Clark
Nurse D	Sarah Williams, John Johnson
Nursing Assistant E	General Support

IV. Tasks and Priorities

Task	Priority Level	Assigned Staff
Administer morning medications	High	Nurse A
Conduct patient rounds	Medium	Nurse B
Update patient charts	High	Nursing Assistant E
Prepare discharge for Jane Smith	Medium	Nurse A
Assist with mobility exercises for Emma Davis	Medium	Nurse B
Monitor blood glucose for Olivia Clark	High	Nurse C
Initiate dialysis for Sarah Williams	High	Nurse D
Administer antibiotics to John Johnson	High	Nurse D
Prepare new admissions (John Johnson, Sarah Williams)	Medium	Nurse D
Monitor oxygen levels for Michael Lee	High	Nurse C

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

Emergency Type	Protocol Summary	Contact Information
Cardiac Arrest	Initiate CPR, call code blue, use AED	Code Blue Team Ext. 555
Fire Evacuation	Follow evacuation routes, assist patients	Security Ext. 333
Power Outage	Use backup generators, ensure critical equipment is connected	Maintenance Ext. 444
Severe Weather	Secure all windows, move patients away from windows, and follow the hospital's severe weather plan	Emergency Coordination Team Ext. 777
Hazardous Material Spill	Contain spill, call hazmat team, evacuate if necessary	Hazmat Team Ext. 666

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