Giving a shift report can feel overwhelming, especially for new nurses. You’re handing over critical patient information, and it’s vital to ensure that nothing important gets missed.
But don’t worry—I’ve been there. Let me share how I learned to simplify shift reports and give you practical tips to make them a breeze.
I Remember When I First Started Out...
When I first started as a nurse, I was that nurse—going over every single detail during report.
I would list everything, from the resident's dinner preferences to the exact number of times they called out. By the time I finished, my reports felt never-ending, and I wasn’t even sure if the information I shared was actually helpful.
Over time, I realized something crucial: shift reports aren’t about covering everything—they’re about covering what matters most.
I began to focus on safety and sharing the information the next nurse needed to care for the resident safely and effectively.
That shift in mindset made all the difference, and I’ve used it as a guide ever since.
1. Think of Shift Reports as a Mini Head-to-Toe Assessment
When you’re unsure where to start, structure your report like a head-to-toe assessment. You don’t have to dive into every little detail, but this framework will help you focus on the essentials.
2. Prioritize Safety-Related Information
Your number one priority in a shift report is to share anything that impacts patient safety. Key areas to include are:
Orientation Status: Is your patient alert and oriented? Any recent changes?
Swallowing Status: If your patient is on thickened liquids or has swallowing precautions, the oncoming nurse needs to know.
Fall Risks: If the patient is a frequent faller, highlight this and remind the oncoming nurse to inform CNAs about interventions in place.
Medications and Treatments: Is your patient on antibiotics? Share the start date, the reason for the medication, and any progress noted.
3. Include Key Functional Updates
Ambulation Status: Does your patient transfer independently, with assistance, or require a lift? This can prevent accidents or misunderstandings during care.
Diabetic Care: Share recent blood sugar trends and any necessary follow-ups.
Oxygen Usage: Sharing this information so the nurse can ensure in place and assess.
4. Be Clear About What Needs Validation
One area where I like to be cautious is with code status. While it’s important to note, I always encourage the oncoming nurse to validate this themselves in the chart. In long-term care, code statuses can sometimes be outdated, so it’s better to confirm than assume.
Pro Tip: Ask Yourself This Question
"What does the next nurse need to know to keep this patient safe and provide excellent care?" If you focus on answering this, your report will always hit the mark.
Streamline Your Reports with the Nurse Report Tool
Shift reports don’t have to be stressful. With practice and the right tools, you can give clear, concise, and effective handoffs every time. That’s why I created the Nurse Report Tool—your simple guide to organizing and delivering a thorough report.
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Final Thoughts
Giving shift reports is a skill that improves over time.
By focusing on patient safety, sharing essential updates, and staying organized, you’ll gain confidence and reduce stress.
Remember, you’re not just passing on information—you’re ensuring continuity of care and setting the next nurse up for success.
💬 What’s your biggest challenge when giving shift reports? Share your thoughts in the comments below—I’d love to hear from you!
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