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The document is a Shift Endorsement Sheet used for nursing staff to ensure compliance during shift changes. It includes a checklist for both station and bedside endorsements, covering staff sign-in, patient assessments, and communication of incidents. There are sections for comments and signatures from the head nurse and nursing director.

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4 views

16

The document is a Shift Endorsement Sheet used for nursing staff to ensure compliance during shift changes. It includes a checklist for both station and bedside endorsements, covering staff sign-in, patient assessments, and communication of incidents. There are sections for comments and signatures from the head nurse and nursing director.

Uploaded by

drmohd2013
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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‫ًوىرج االستالم والتسلين بيي الكادر التوريضي‬ .......................................

:‫الورفق رقن‬

Shift Endorsement Sheet


Supervisor name: Date:
Floor: Shift:

Compliance
Yes No N/A
Station endorsement
 All staff on duty sign in shift report before
starting endorsement
 In-charge nurse distribute the assignment
according to patient classification and
patient/nurse ratio.
 In-charge nurse proceed endorsement
procedure
 All R.N nurses scheduled on duty present
during endorsement
 In-charge nurse is checking D.D.A and E-
cart before starting endorsement.
 Assignment ready before starting
endorsement.
 All patients' files, flow sheet & medication
sheet were checked before starting bedside
endorsement.
 Incident that happen during shift was
clarified during endorsement and
communicated with head nurse.
 Share information about the patient's care
and response to care among nursing
‫ًوىرج االستالم والتسلين بيي الكادر التوريضي‬ ....................................... :‫الورفق رقن‬

Compliance
Yes No N/A
Bed side endorsement
 Staff introducing them selves to the
patient.
 Nursing staff salute the patient upon
entering the room.
 Receiving staff and giving staff check:
 Patient general condition -
 Patient level of consciousness
 Any incisions if present
 Epidural catheter if present
 I.V fluid
 Venous access devices
 Drains if present
 Surrounding environment → safety.
→ Hygiene.
 Suction machines
 O2 supply
Practical Nurse endorsement
 Senior practical nurses check unit
equipments.
 Practical nurse check
 Kitchen
 Laundry room
 Medication room
 Store room.
 Waste Management.
‫ًوىرج االستالم والتسلين بيي الكادر التوريضي‬ ....................................... :‫الورفق رقن‬

Other comments:
…………………………………………………………………
…………………………………………………………………
…………………………………………………………………
…………………………………………………………………
…………………………………………………………………
…………………………………………………………………
…………………………………………………………………
…………………………………………………………………
…………………………………………………………………
………………………………

TIME : : …M

GIVEN STAFF: RECIVING STAFF:

1- 1-
2-
2-
3-
3-
4-
4-

Head Nurse Sign: Nursing Director Sign:

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