Handoff Sheet For Nurses Details

Sheet telemetry is a type of telemetry that uses paper forms to collect data. This can be an effective way to collect data from a large number of people in a short amount of time. The collected data can then be analyzed to find patterns or trends. There are many different types of sheet telemetry, and each has its own advantages and disadvantages. In general, however, sheet telemetry is a low-cost, easy-to-use method of collecting data.

Before you decide to fill in sheet telemetry, you will need to know more about the type of form you'll work with.

QuestionAnswer
Form NameSheet Telemetry
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesnursing report sheet templates, sbar report sheet, nurse report template, telemetry nursing report sheet pdf

Form Preview Example

NURSE BRAIN SHEET – TELEMETRY UNIT SBAR

 

S


Patient
name













































































Age


 

allergies


 

Physician


 

 

 

 

Room
number






























































Admit
date


 

 

 

Attending


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Code
status



 

 

 

 

 

1
Dx











































































2
Dx


 

 

 

Consultants


 

 

 

 

 

 

 

Advanced
directive
on


 

 

 

 

 

C/O

 

 

chart?


 

Pgr/#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B


History


 

 

 

Isolation







Core
Measures


 

 

 

 

Surgery:




























Surgeon










































 

 

Restraints





CHF

MI

PNA


 

 

 

 

Anesthesia

























Anesthesiologist


































EBL


 

 

Fall
risk




Vaccine‐
PNA

Flu


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A


Cardiac:

BP/HR/Peripheral
pulses/Edema/Heart
sounds


 

 

Pain/sedation


 

 

 

 

Current
rhythm


 

 

 

Pain
scale


 

 

 

 

Daily
wt?


 

 

 

Location


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DVT
prophylaxis

 

 

 

Meds
type
and
last
dose

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pulmonary:

Breath
sounds/Secretions/
SpO2/UPAs/PIP/


Vent/bipap
etc


Accu
checks





















A1C


 

 

 

 

Spontaneous
VT
&
VE


 

 

 

 

 

 

 

 

 

 

 

settings


Frequency


 

 

 

 

 

 

 

 

Last
Results


 

 

 

 

 

 

 

 

 

 

 

 

 

GI




































NG/OGT


 

 

Skin






































































 

 

 

 

 

 

 

 

Wounds/Drainage


 

 

 

 

BS






































Last
BM


Diet



































GI
Prophylaxis


 

 

 

 

 

 

 

 

 

 

Staples

































































 

 

 

 

 

 

 

 

Drains


 

 

 

 

GU


Foley/void


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Location


 

 

 

 

Output


 

 

 

 

 

 

 

 

 

 

 

 

 

Ducub
photo
on
admission


 

 

 

 

 

 

 

 

 

 

 

 

IV





























































Date
inserted


 

 

Psych
Social


 

 

 

 

Fluids





















































Gtts




































































 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Meds


 

 

 

Pending
orders


 

 

 

Na


Cl


Bun


gluc


mg


BNP


Coags


 

UA


CT


 

 

 

 

 

 

 

 

 

 

INR


 

 

CXR


 

 

 

 

 

 

 

 

 

 

 

 

 

 

K


Co


Cr


Ca


Phos


DDimer


 

 

Cultures


 

 

 

 

 

 

 

 

PTT








 

MRI


 

 

 

 

 

 

Next
lab


 

Echo


Cardiac
enz


1



















2

















3


 

 

 

 

 

 

 

 

 

 

 

R
 DC
Plan.
Is
pt
informed
of
plan___
24
hour
orders
reviewed____


 

Shift
goals