Clinical Handover Report

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]

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