Shift Handover
Morning shift report and patient status summary
Outgoing Shift Details
Outgoing Nurse
Maria Chen RN
Shift
Morning — 06:00 AM to 02:00 PM
Date
Jun 21, 2026
Patient Status Summary
| Patient / Bed | Key Events This Shift | Status | Pending Tasks | Special Instructions |
|---|---|---|---|---|
Rahul Mehta B-104/2 Post-op Appendectomy | Wound dressing changed at 08:00. Pain reduced to 3/10 post-analgesics. | Monitoring | IV antibiotics at 14:00. Advance diet order. | Ambulate Q4H. Monitor for fever. |
James Okafor C-112/1 Hypertensive Crisis | BP peaked 178/102 at 07:00, Labetalol given. Now 154/92. Headache improving. | Critical | BP check Q1H. Neurological assessment Q2H. | IMMEDIATE alert if BP >180 systolic. Neuro team aware. |
Mohamed Al-Hassan A-108/2 Congestive Heart Failure | Daily weight 82.4 kg (-0.6 kg). Furosemide 40mg IV given at 07:00. SpO2 95% RA. | Monitoring | Fluid balance at 14:00. Furosemide dose at 14:00. | Strict I&O. Notify if urine output <30 mL/hr. |
Meera Krishnan A-105/3 Acute MI — Post-cath Day 1 | Radial site intact. No chest pain. Cardiac rehab nurse visited at 10:00. | Monitoring | Echo ordered for 15:00. Telemetry continue. | Immediately notify cardiology if chest pain, arrhythmia, or access site bleeding. |
Amara Diallo C-114/2 Eclampsia | Seizure episode at 02:05 AM resolved. MgSO4 rate adjusted. CTG reassuring. | Critical | MgSO4 levels at 12:00. CTG continuous monitoring. | Seizure precautions in place. OB on-call aware. Check reflexes Q2H. |
Anita Desai C-103/3 Type 2 Diabetes — Uncontrolled | FBG 152 mg/dL this morning. Insulin given. Dietary session completed. | Stable | Lunch BG check at 13:00. Insulin sliding scale review. | Low glycaemic diet. Patient learning insulin technique. |
Rajesh Kumar D-115/4 COPD Exacerbation | Nebs at 08:00. SpO2 improved to 90% on 2L/min O2. Sputum culture sent. | Monitoring | Nebs at 14:00. Culture results expected today. | Target SpO2 88–92%. Never increase O2 without physician order. |
David Osei C-110/1 Sepsis — Resolved | Afebrile since yesterday. WBC trending down per morning labs. Oral ABX started. | Stable | IV line removal if remains afebrile. D/C planning. | Anticipated discharge tomorrow. Needs discharge instructions and medications. |
Critical Alerts
Pending Medications
Previous Handover — Night Shift
Maria Chen RN
Night Shift — Grace Liu RN
06:00 AM — Jun 21, 2026
Amara Diallo (C-114/2): Eclampsia — seizure at 02:05 resolved on MgSO4. James Okafor (C-112/1): BP labile overnight, max 178/102.
Mohamed Al-Hassan — Furosemide 40mg IV at 07:00. Anita Desai — Insulin per sliding scale at 06:30.
Night was uneventful except for Amara Diallo seizure episode. All patients otherwise stable. No new admissions overnight.