Gather initial report from previous shift charge nurse
2
Review all patients' data including medical status and care plan
3
Identify high-risk patients requiring additional monitoring or intervention
4
Update patient progress notes
5
Assess staffing resources for the current shift
6
Determine patient assignments for nurses based on acuity and staff expertise
7
Coordinate patient transport for tests, surgeries or other procedures
8
Communicate critical patient information to nurses and physicians
9
Identify potential patient discharges and transfers
10
Approval: Patient care procedures
11
Prioritize care activities based on patient needs and staff availability
12
Monitor treatment plans and adjust as required
13
Identify any patients requiring specialist consultation
14
Review lab test results and report significant changes to physicians
15
Coordinate with other departments as necessary for patient care
16
Approval: Treatment plan adjustments
17
Update patient families about the patient condition and progress
18
Prepare the end of shift report for the next charge nurse
19
Discuss concerns and suggestions for patient care with head nurse
Gather initial report from previous shift charge nurse
Start your shift by gathering the initial report from the previous shift charge nurse. This report will provide crucial information about the patients' conditions, ongoing care plans, and any specific instructions to follow. By reviewing this report, you can ensure a smooth transition and maintain continuity of care.
Review all patients' data including medical status and care plan
Take the time to review all patients' data, including their current medical status and care plans. This will help you understand each patient's needs, any ongoing treatment plans, and any changes that might have occurred during the previous shift. By staying updated on each patient's condition, you can provide appropriate care and make informed decisions.
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Patient 1
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Patient 2
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Patient 3
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Patient 4
5
Patient 5
Identify high-risk patients requiring additional monitoring or intervention
Carefully assess each patient's condition and identify any high-risk patients who require additional monitoring or intervention. This may include patients with critical medical conditions, recent surgeries, or chronic illnesses. By prioritizing and providing extra attention to these patients, you can ensure their safety and well-being.
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Patient 1
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Patient 2
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Patient 3
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Patient 4
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Patient 5
Update patient progress notes
Regularly update the patient progress notes to provide accurate and up-to-date information about each patient's condition and treatment. This will help in tracking their progress, facilitating effective communication with the medical team, and ensuring continuity of care.
Assess staffing resources for the current shift
Evaluate the available staffing resources for the current shift to ensure adequate coverage and appropriate allocation of nurses. Consider factors such as the number of patients, their acuity levels, and the expertise of the nursing staff. By properly assessing staffing resources, you can optimize patient care and maintain a balanced workload for the nursing team.
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Adequate
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Short-staffed
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Overstaffed
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Uncertain
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Other
Determine patient assignments for nurses based on acuity and staff expertise
Assign patients to individual nurses based on their acuity levels and the nursing staff's expertise. Consider the complexity of each patient's condition, the required level of care, and the nurses' specialized skills. By carefully assigning patients, you can ensure that they receive appropriate care and that the workload is distributed effectively among the nursing team.
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Patient 1
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Patient 2
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Patient 3
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Patient 4
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Patient 5
Coordinate patient transport for tests, surgeries or other procedures
Coordinate the transportation of patients who require tests, surgeries, or other procedures. This involves collaborating with other departments, such as radiology or the operating room, to ensure smooth transitions and timely transportation. By effectively coordinating patient transport, you can minimize delays and ensure that patients receive necessary procedures in a timely manner.
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Patient 1
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Patient 2
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Patient 3
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Patient 4
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Patient 5
Communicate critical patient information to nurses and physicians
Effectively communicate critical patient information to the nursing staff and physicians involved in the care. This includes sharing updates, changes in condition, and important test results. By facilitating clear and timely communication, you can ensure that the entire medical team is informed and able to make informed decisions.
Identify potential patient discharges and transfers
Identify patients who may be ready for discharge or transfer to other healthcare facilities. This involves assessing their progress, consulting with the medical team, and coordinating any necessary arrangements. By identifying potential discharges and transfers in a timely manner, you can optimize bed availability and facilitate the continuity of care.
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Patient 1
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Patient 2
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Patient 3
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Patient 4
5
Patient 5
Approval: Patient care procedures
Will be submitted for approval:
Update patient progress notes
Will be submitted
Determine patient assignments for nurses based on acuity and staff expertise
Will be submitted
Coordinate patient transport for tests, surgeries or other procedures
Will be submitted
Communicate critical patient information to nurses and physicians
Will be submitted
Identify potential patient discharges and transfers
Will be submitted
Prioritize care activities based on patient needs and staff availability
Prioritize care activities based on the needs of each patient and the availability of the nursing staff. Consider the urgency of the tasks, the complexity of the patients' conditions, and the resources at hand. By effectively prioritizing care activities, you can ensure that patients receive timely and appropriate care while optimizing the utilization of resources.
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Administer medications
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Perform wound dressings
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Monitor vital signs
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Assist with mobility
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Provide patient education
Monitor treatment plans and adjust as required
Continuously monitor the treatment plans of each patient and make adjustments as required. This involves assessing their response to treatments, consulting with the medical team, and implementing any necessary modifications. By actively monitoring and adjusting treatment plans, you can ensure that patients receive the most effective and appropriate care.
Identify any patients requiring specialist consultation
Identify patients who may require specialist consultation for their specific conditions or complex medical needs. This involves assessing their current status, consulting with the medical team, and coordinating appointments or consultations. By identifying patients who require specialist input, you can ensure that they receive comprehensive care and access to the expertise they need.
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Patient 1
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Patient 2
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Patient 3
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Patient 4
5
Patient 5
Review lab test results and report significant changes to physicians
Regularly review the lab test results of each patient and promptly report any significant changes or abnormalities to the treating physicians. This involves analyzing the results, comparing them to previous values, and identifying any potential concerns. By ensuring timely communication, you can assist the medical team in making informed decisions and adjusting the treatment plans accordingly.
Coordinate with other departments as necessary for patient care
Collaborate with other departments, such as pharmacy, radiology, or social services, as necessary to ensure coordinated and comprehensive patient care. This involves communicating patient needs, facilitating necessary consultations, and coordinating the delivery of specific services. By effectively coordinating with other departments, you can enhance the overall care experience for patients and streamline the care process.
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Pharmacy
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Radiology
3
Social Services
4
Nutrition
5
Physical Therapy
Approval: Treatment plan adjustments
Will be submitted for approval:
Monitor treatment plans and adjust as required
Will be submitted
Identify any patients requiring specialist consultation
Will be submitted
Review lab test results and report significant changes to physicians
Will be submitted
Coordinate with other departments as necessary for patient care
Will be submitted
Update patient families about the patient condition and progress
Regularly update the patient families about their loved one's condition and progress. This involves effective communication, providing explanations, addressing concerns, and offering emotional support as needed. By keeping the families informed, you can promote trust, reduce anxiety, and encourage their involvement in the patient's care.
Prepare the end of shift report for the next charge nurse
Prepare a comprehensive end-of-shift report for the next charge nurse, summarizing the key events, patient changes, and ongoing care plans. Include important details, any pending tasks or concerns, and any specific instructions or recommendations. By providing a thorough report, you can ensure a smooth handover and continuity of care for the next shift.
Discuss concerns and suggestions for patient care with head nurse
Engage in open discussions with the head nurse to address any concerns, seek advice, and share suggestions related to patient care. This exchange of information allows for collaboration, problem-solving, and continuous improvement of care practices. By actively participating in these discussions, you contribute to the overall quality of patient care.
