I began my career in the Neurosurgical ICU at a large Level I Trauma Hospital in Dallas – FW.
I can still vividly remember my first night on the unit. I was terrified. But I was filled with a (bad) sense of hubris. I had done well in my Second Degree BSN program and felt that I could catch on well to anything that was thrown at me.
Opps . . .
Real life nursing is a freaking slap in the face to what I had been exposed to as a student. . . . we won’t get into that too much here . . . today I just want to share with you how I learned to give stellar reports in the intensive care unit.
Luckily, I had an amazing preceptor. During the first few shifts she sat closely behind my shoulder to monitor where my skills and knowledge base were currently at, acting as a resource as needed.
After our long first shift . . . where I quickly realized how little I actually knew about nursing in the real world . . . we did a quick debriefing together. She said that her goal was to have me become a master of giving hand-off report. With that she gave me a report sheet template that has become my go-to.
Now years later I still require new nurses and nursing students to fill that same ICU report sheet out as the shift goes on and prior to giving report to the on coming nurse.
Those nurses that latch on to this method for giving report become masters of the nursing shift report. Here is the template that we use:
You can download this report sheet template for free:
This report sheet is designed specifically for critical care nurses but it would work in any nursing setting. Here are the steps to a great ICU handoff report:
This is really all that you need to do to give an amazing report . . . and you need to do it in this order. The problem many nurses run into is that there is SO MUCH to know and to keep straight and they don’t have or stick to a basic format before they open their mouth and start talking.
Many experienced nurses struggle with this as well. Nothing helps you start your shift on the right foot like getting an organized report . . . and an organized report really comes down to knowing the basics . . . and having a method or pattern that you stick to.
That is exactly what this template provides you with . . . a system to help extract all the information that you need to provide for the oncoming nurse.
I want you to download this chart and begin to use it immediately in your clinicals. . .
You’re Turn
What tools and references are you using to give killer hand-off reports in the ICU? Tell me below.
So all my floor and ICU nurses . . .
Ever get a report from ED that sounded something like this:
“Older female, came in with acute ischemic stroke, started tPA at 20:30, NIH 18, L side weakness, vented, VSS”?
As an ICU or floor nurse we are left thinking . . . what the hell? What about everything else!?!
Ever wonder why report between service lines is so different?
We all have different job and a different focus.
In this episode we talk about the differences in nursing report between ED, ICU, and the floor . . . and why those differences are important . . . and GOOD.
Click above to listen. We also created a huge database of nursing report and brain sheets which you can get here.
There is a strange competition between different floors in the hospital.
Because other floors do things differently . . . we assume they do it the wrong way.
It doesn’t have to be this way!
This competition and cliquishness have always been funny/sad to me.
Our team here at NRSNG comes from a wide range of service areas in the hospital including:
And you know what’s crazy?? We all get along! We all respect the skills and specialization of the other nurse.
The reason report and care is so different on each floor is because the patient has vastly different needs as they progress through the hospital.
The ED nurse didn’t see the Stage 2 pressure ulcer on the coccyx of the Acute MI patient because . . . they didn’t look . . . and you know what??? That’s okay. They are in the middle of saving a patient from dying of a heart attack.
Scroll up listen to the episode and be nice to your fellow nurse!
With all the demands and knowledge required for nursing, it can be overwhelming to master all those skills! Great time management will be required for you to become the best nurse you can be. Our communication and time management tips will help you manage all the different things that you will do every single day!
Happy Nursing!