Shift Handoff Report

Structured bedside report for shift-to-shift handoff.

For educational use only. Always verify with clinical judgment and facility protocols.

Shift Handoff Report

Structured bedside report for shift-to-shift handoff.

Patient Info

Room / Bed

Age

Primary Diagnosis

Code Status

Allergies

Current Status

Level of Consciousness

Activity

Diet

Oxygen

Pain Score

Key Systems

Cardiac

Respiratory

Neuro

Skin

IV Access & Drips

Access

Running Infusions

Pending

Labs / Imaging

Consults

Medications

Next Due Meds

PRN Usage This Shift

Safety

Fall Risk

Isolation

Restraints

Suicide Precautions

Follow-Up / To-Do

Priority Items for Oncoming Shift

Live Preview

SHIFT HANDOFF REPORT PATIENT: Room [Room]. Age [Age]. Dx: [Diagnosis]. Code status: Full Code. Allergies: [Allergies]. CURRENT STATUS: A&O x4. Activity: Ambulatory. Diet: Regular. O2: Room air. Pain: 0. SYSTEMS: Cardiac: NSR. Resp: CTA. Neuro: Intact. GI: Tolerating diet. GU: Voiding. Skin: Intact. ACCESS: [IV access]. Drips: [None]. PENDING: [None]. Consults: [None]. MEDS: Next due: [None]. PRN this shift: [None]. SAFETY: Fall risk: Low. Isolation: None. Restraints: None. FOLLOW-UP: [None].

Tip: Customize the template using the options on the left. The signature [NursingWorksheets.com] is added automatically when you copy.