Скачать или смотреть Beginning of shift routine

I know it’s different hospital by hospital, but in my hospital, we print out what we call a ‘brain sheet.’ It’s a comprehensive paper containing the most recent information about the patient, such as their identification with code status, allergies, principal problem, diet orders, recent vital signs, labs, and nursing notes, etc. I quickly review it to grasp a general idea about the patient. Then, I categorize the information per system in head-to-toe order: mental status (head), mobility, cardiac, respiratory, gastrointestinal/genitourinary, skin, and pain. Next, I receive report from the previous shift nurse. If I have to wait for them, I log in to the computer and review the patient’s chart, including lab trends, all orders, and recent notes from nurses and doctors, or any relevant notes. I fill in any orders that I need to know or write a to-do list.

After receiving report from the previous nurse, we check on the patients together, introducing ourselves and informing them of the shift change. If a patient is on any drips, we perform a verification safety check. If there are any complex care needs, we instruct the next nurse on what to do or what to be aware of. Afterwards, I return to the computer to finish reviewing the chart and learn more about the patients before seeing them. I plan out my time to manage the shift smoothly, deciding who to see first and what tasks to prioritize. I also do rounds with my nursing assistants to ensure we are all informed about the patients and can delegate tasks such as blood glucose checks and vital signs.
They also receive a report from the previous shift, but sometimes there are changes they may not be aware of, so I find this communication crucial for a smoother shift and good teamwork. Then, I start preparing medications for the patients, doing assessments or vital signs before administering the medications I have prepared.

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