Free Nurse Handover Report Template
Nurse Handover Report
Prepared by: [Your Name]
Date: October 28, 2050
I. Patient Information
Patient ID |
Name |
Age |
Gender |
Diagnosis |
---|---|---|---|---|
001 |
Jarvis White |
65 |
M |
Pneumonia |
002 |
Gino Rohan |
72 |
M |
Heart Failure |
003 |
Edgar Spencer |
54 |
M |
Diabetes Mellitus |
004 |
Garfield Williams |
80 |
M |
Chronic Kidney Disease |
II. Handover Summary
Shift Overview
-
Date of Shift: October 28, 2050
-
Start Time: 07:00 AM
-
End Time: 07:00 PM
-
Nurse in Charge: [Your Name]
Key Events During Shift
-
001: Patient exhibited improved respiratory function post-treatment.
-
002: Administered medications on time; patient reported chest pain relief.
-
003: Blood sugar levels stabilized after dietary adjustments.
-
004: Observing slight edema increase; continued monitoring advised.
III. Medication Administration
Patient ID |
Medication |
Dosage |
Time Administered |
Notes |
---|---|---|---|---|
001 |
Amoxicillin |
500 mg |
08:00 AM |
Continue monitoring. |
002 |
Furosemide |
40 mg |
09:00 AM |
Monitor electrolyte levels. |
003 |
Metformin |
500 mg |
10:00 AM |
Check fasting glucose. |
004 |
Lisinopril |
10 mg |
11:00 AM |
Observe for dizziness. |
IV. Patient Care Notes
Vital Signs
Patient ID: 001
-
BP: 120/80 mmHg
-
HR: 78 bpm
-
Temp: 98.6°F
Patient ID: 002
-
BP: 130/85 mmHg
-
HR: 82 bpm
-
Temp: 99.1°F
Patient Concerns
-
001: Complaints of shortness of breath during exertion.
-
002: Requests clarification about medication side effects.
V. Additional Observations
-
Dietary Needs: All patients on scheduled diets; monitor for any food allergies.
-
Social Interaction: Promote family visits for 003 and 004's emotional support.
VI. Action Items for Next Shift
-
Continue monitoring fluid intake and output for 004.
-
Ensure 001 receives respiratory therapy at 1:00 PM.
-
Review the care plan for 002 with the attending physician.
For further details or questions regarding this report, please contact me at [Your Email] or reach out through [Your Company Number]. For additional information about our facility, feel free to visit [Your Company Address].
This handover report serves as a comprehensive overview for the incoming nursing staff to ensure continuity of care and address any immediate patient needs.