shoelace87: intrainingdoc: Learn your surgical terms! This is a lifesaver for students in the operating room. Just a cutesy lil FYI This is so helpful. Especially when you’re reading a patients medical history, doctors progress notes, nursing notes, nursing exams, nclex, etc.
Things to ask for in a report: Name, age, diagnosis, MD (the one you’re going to call, not the one who hasn’t seen him in a week), activity level, diet. Presenting complaint. Tests done and tests pending. Meds given in ED (if recently arrived) and meds that need to be given before the end of the shift. Orders. Admitting/discharge paperwork done. Vital signs throughout the shift, and important changes (improvements or decompensation) and what’s been done about it.