Free Clinical Handover Report Template
Clinical Handover Report
|
Project Name: |
Morning to Evening Nursing Shift Handover |
|
Prepared By: |
[Your Name] |
|
Company Name: |
[Your Company Name] |
|
Handover To: |
Evening Nursing Shift Team |
|
Date: |
January 1, 2050 |
I. Patient Information
A. General Information
|
Patient Name: |
John Doe |
|
Patient ID: |
123456 |
|
Age: |
65 |
|
Room Number: |
101 |
B. Medical History
-
Diabetes
-
Hypertension
-
Previous Stroke in 2048
II. Current Condition
A. Vital Signs
|
Vital Sign |
Measurement |
Time Taken |
|---|---|---|
|
Blood Pressure |
140/90 mmHg |
8:00 AM |
|
Heart Rate |
85 bpm |
8:00 AM |
|
Respiratory Rate |
18 breaths/min |
8:00 AM |
|
Temperature |
37.3°C |
8:00 AM |
B. Observations
-
Patient is alert and oriented.
-
Mild shortness of breath noted during morning walk.
-
IV fluids running at 50 ml/hr with no complications.
III. Medications
A. Administered
|
Medication |
Dosage |
Time Given |
|---|---|---|
|
Metformin |
500 mg |
8:00 AM |
|
Amlodipine |
10 mg |
8:00 AM |
|
Aspirin |
81 mg |
8:00 AM |
B. Upcoming Doses
|
Medication |
Dosage |
Time |
|---|---|---|
|
Metformin |
500 mg |
8:00 PM |
|
Amlodipine |
10 mg |
8:00 PM |
|
Insulin Injection |
- |
6:00 PM |
IV. Tasks Completed
-
Morning hygiene care provided.
-
Wound dressing changed.
-
Physical therapy session at 9:00 AM.
V. Pending Tasks
-
Administer evening medications.
-
Ensure IV fluids are functioning correctly.
-
Check on patient’s dietary intake at dinner.
VI. Contact Information
If you have any questions or require further information, please contact:
|
Name: |
[Your Name] |
|
Email: |
[Your Email] |
|
Company: |
[Your Company Name] |
|
Phone Number: |
[Your Company Number] |
