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.

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