CORE design studio process book

VANCOUVERCOASTAL HEALTH:

CHERYL LOH, NEIL MCMILLAN & KATHERINE PIHL

Helping with nurse handoffs during shift changes

INTRODUCTION

2/3 of preventable deaths at hospitals are caused by poor communication between staff

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a specific example that has resulted to these deaths is during shift changes at hospitals, referred as handoffs

need to reconsider a new method for nurse to nurse handoffs

DEFINING THE PROBLEM

lack of structure to handoffsPRIMARY PROBLEM:only 8% of medical school teach how to do proper handovers

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every hospital and every nurse executes different methods

FUNNELING: when certain information is missed or forgotten

only 8% of medical school teach how to do proper handovers

the need to design a handoff system that was standardized for all nurses to follow

THE DISCOVERY:

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every hospital and every nurse executes different methods

FUNNELING: when certain information is missed or forgotten

DEFINING THE PROBLEM

lack of structure to handoffsPRIMARY PROBLEM:

THE RESEARCH

jails in the province have an electronic database to record, keep and share inmates’ information

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How could an electronic standardized system effectively decrease human error in nurse handoffs?

THE RESEARCH

jails in the province have an electronic database to record, keep and share inmates’ information

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most hospitals in San Diego are starting to transition in using electronic records to reduce human error

Lucile Packard Children’s Hospital in California uses a computer system that enables doctors to prescribe medications and tests electronically

How could an electronic standardized system effectively decrease human error in nurse handoffs?

CO-CREATION

each of our activities was designed to initiate a dialogue regarding the current nurse handoffs and discovering what nurses would ideally prefer during future handoffs

THE LEARNING OUTCOME:many of the nurses were reluctant in using digital tools and preferred writing on paper

disconnect with technology

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THE DISCOVERY

CHEAT SHEETSDEFINITION: a commonly used method among nurses to

write down the important information they receive during shift changes. (Generally on a scrap piece of paper, a journal or a daily planner)

CHEAT SHEETS

A cheat sheet is referred very often. Every half hour to an hourA shift report is referred rarely to never

DEFINITION: a commonly used method among nurses to write down the important information they receive during shift changes. (Generally on a scrap piece of paper, a journal or a daily planner)

THE DISCOVERY

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REDEFINING OUR CONCEPT

create a standardized but flexible cheat sheet that would also become the handoff/shift report; eliminating one step for handoffs

OUR GOAL:

INITIAL ITERATION

daily planner

room #

name

priority

patient summary

low high

night shift: 1900 - 0715

1900

2000

2100

2200

2300

2400

shift schedule

0100

0200

0300

0400

0500

0600

shift schedule

allergies

safety

monitoring

respiratory

nutrition

other

PATIENT

ROOM #

MEDICATION

CONDIT ION

SAFETY

PRIORITY

ALLERGIES

OTHER SHIFT SCHEDULE

RESP IRATORY

LOW HIGH

1s t h r 7t h h r

8t h h r

9t h h r

10t h h r

11 t h h r

12t h h r

2n d h r

3r d h r

4t h h r

5t h h r

6t h h r

Time12:00

1:002:003:004:005:006:007:008:009:00

10:0011:00

Patient Name

Date Room #

12:00

ConditionGood Bad

Allergies

Close ObvservationYes No

Medication

Respitory Status

Vital Signs

Patient Summary

Other

for several weeks we looked at the orientation of the paper and tested various layouts

difficulty understanding the medical terms and distinguishing which information should be included in the cheat sheet

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USER-TESTING

daily planner

room #

name

priority

patient summary

low high

night shift: 1900 - 0715

1900

2000

2100

2200

2300

2400

shift schedule

0100

0200

0300

0400

0500

0600

shift schedule

allergies

safety

monitoring

respiratory

nutrition

other

PATIENT

ROOM #

MEDICATION

CONDIT ION

SAFETY

PRIORITY

ALLERGIES

OTHER SHIFT SCHEDULE

RESP IRATORY

LOW HIGH

1s t h r 7t h h r

8t h h r

9t h h r

10t h h r

11 t h h r

12t h h r

2n d h r

3r d h r

4t h h r

5t h h r

6t h h r

Time12:00

1:002:003:004:005:006:007:008:009:00

10:0011:00

Patient Name

Date Room #

12:00

ConditionGood Bad

Allergies

Close ObvservationYes No

Medication

Respitory Status

Vital Signs

Patient Summary

Other

VCH nurses helped translate the medical definitions and established which information to include in the cheat sheet

all the nurses were favourable of the one layout

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CHALLENGES

CONSIDERATIONS FOR THE CHEAT SHEET

RELATION TO KARDEX

INCLUDING PROMPTS

TYPE SIZE + COLOUR

PAPER SIZE AND STORAGE

Overall, we wanted to provide a compact form that was legible, providing the necessary prompts while still allowing the maximum amount of space for writing.

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FINAL OUTCOME: PRINT

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

6

Systems Information

Neurological

Cardiovascular

Respiratory

Gastrointestinal/Genitourinary

Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

5

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

7

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

8

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

4

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

3

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

2

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

1

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

RN To Do List, MD For RoundsChanges In Condition Additional Care

Name:

Tests Bloodwork

Consults Aler ts

3

Name:

Tests Bloodwork

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2

Name:

Tests Bloodwork

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Name:

Tests Bloodwork

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Tests Bloodwork

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Name:

Tests Bloodwork

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Name:

Tests Bloodwork

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7

Name:

Tests Bloodwork

Consults Aler ts

8

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders

Changes In Condition

Name:

Room # Bed #

Code Status

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Surgery

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Code Status

Diagnosis

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Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders



Name:

Tests Bloodwork

Consults Aler ts

3

Name:

Tests Bloodwork

Consults Aler ts

2

Name:

Tests Bloodwork

Consults Aler ts

1

Name:

Tests Bloodwork

Consults Aler ts

4

Name:

Tests Bloodwork

Consults Aler ts

5

Name:

Tests Bloodwork

Consults Aler ts

6

Name:

Tests Bloodwork

Consults Aler ts

7

Name:

Tests Bloodwork

Consults Aler ts

8

Name:

Room # Bed #

Code Status

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Surgery

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Reminders


Name:

Room # Bed #

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Diagnosis

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Name:

Room # Bed #

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Diagnosis

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Name:

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Code Status

Diagnosis

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Name:

Room # Bed #

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Diagnosis

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Name:

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Diagnosis

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Name:

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Diagnosis

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Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


1 FRONT SIDE 2 INSIDE 3 BACK



Name:

Tests Bloodwork

Consults Aler ts

3

Name:

Tests Bloodwork

Consults Aler ts

2

Name:

Tests Bloodwork

Consults Aler ts

1

Name:

Tests Bloodwork

Consults Aler ts

4

Name:

Tests Bloodwork

Consults Aler ts

5

Name:

Tests Bloodwork

Consults Aler ts

6

Name:

Tests Bloodwork

Consults Aler ts

7

Name:

Tests Bloodwork

Consults Aler ts

8

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

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Diagnosis

Surgery

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Name:

Room # Bed #

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Diagnosis

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Name:

Room # Bed #

Code Status

Diagnosis

Surgery

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Name:

Room # Bed #

Code Status

Diagnosis

Surgery

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Name:

Room # Bed #

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Diagnosis

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Name:

Room # Bed #

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Diagnosis

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Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


1 FRONT SIDE


Name:

Tests Bloodwork

Consults Aler ts

3

Name:

Tests Bloodwork

Consults Aler ts

2

Name:

Tests Bloodwork

Consults Aler ts

1

Name:

Tests Bloodwork

Consults Aler ts

4

Name:

Tests Bloodwork

Consults Aler ts

5

Name:

Tests Bloodwork

Consults Aler ts

6

Name:

Tests Bloodwork

Consults Aler ts

7

Name:

Tests Bloodwork

Consults Aler ts

8

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

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Name:

Room # Bed #

Code Status

Diagnosis

Surgery

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Name:

Room # Bed #

Code Status

Diagnosis

Surgery

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Name:

Room # Bed #

Code Status

Diagnosis

Surgery

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Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders



1 FRONT SIDE

key information about changes in condition


Name:

Tests Bloodwork

Consults Aler ts

3

Name:

Tests Bloodwork

Consults Aler ts

2

Name:

Tests Bloodwork

Consults Aler ts

1

Name:

Tests Bloodwork

Consults Aler ts

4

Name:

Tests Bloodwork

Consults Aler ts

5

Name:

Tests Bloodwork

Consults Aler ts

6

Name:

Tests Bloodwork

Consults Aler ts

7

Name:

Tests Bloodwork

Consults Aler ts

8

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders



1 FRONT SIDE

numbers to help distinguish patients


Name:

Tests Bloodwork

Consults Aler ts

3

Name:

Tests Bloodwork

Consults Aler ts

2

Name:

Tests Bloodwork

Consults Aler ts

1

Name:

Tests Bloodwork

Consults Aler ts

4

Name:

Tests Bloodwork

Consults Aler ts

5

Name:

Tests Bloodwork

Consults Aler ts

6

Name:

Tests Bloodwork

Consults Aler ts

7

Name:

Tests Bloodwork

Consults Aler ts

8

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders



1 FRONT SIDE

the right column is used to list medication needed from doctors

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

6

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

5

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

7

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

8

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

4

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

3

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

2

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

1

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

2 INSIDE


Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

6

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

5

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

7

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

8

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

4

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

3

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

2

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

1

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

2 INSIDE (CLOSE UP OF TOP HALF)

numbers correspond with front of sheet


Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

6

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

5

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

7

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

8

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

4

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

3

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

2

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

1

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes



head to toe analysis, provides prompts for hand-off

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

6

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

5

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

7

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

8

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

4

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

3

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

2

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

1

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes



room for notes that pertain to the specific patient

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

6

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

5

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

7

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

8

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

4

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

3

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

2

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

1

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

2 INSIDE(CLOSE-UP OF BOTTOM HALF)

room to write your own times (eg. 0830)


Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

6

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

5

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

7

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

8

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

4

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

3

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

2

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

1

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes



checkboxes to note when a task is completed


Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

6

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

5

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

7

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

8

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

4

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

3

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

2

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

1

Systems Information

Neurological

Cardiovascular

Respiratory


Skin

Psychosocial

Other Notes


can view schedule for all patients across the sheet


3 BACK

used to take quick notes of up to 8 additional patients


Name:

Tests Bloodwork

Consults Aler ts

3

Name:

Tests Bloodwork

Consults Aler ts

2

Name:

Tests Bloodwork

Consults Aler ts

1

Name:

Tests Bloodwork

Consults Aler ts

4

Name:

Tests Bloodwork

Consults Aler ts

5

Name:

Tests Bloodwork

Consults Aler ts

6

Name:

Tests Bloodwork

Consults Aler ts

7

Name:

Tests Bloodwork

Consults Aler ts

8

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders



3 BACK

room for changes in condition, notes, and reminders


Name:

Tests Bloodwork

Consults Aler ts

3

Name:

Tests Bloodwork

Consults Aler ts

2

Name:

Tests Bloodwork

Consults Aler ts

1

Name:

Tests Bloodwork

Consults Aler ts

4

Name:

Tests Bloodwork

Consults Aler ts

5

Name:

Tests Bloodwork

Consults Aler ts

6

Name:

Tests Bloodwork

Consults Aler ts

7

Name:

Tests Bloodwork

Consults Aler ts

8

Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders


Name:

Room # Bed #

Code Status

Diagnosis

Surgery

Notes

Reminders



OUR CHEAT SHEET CAN BE EASILY FOLDED AND STORED IN 3 DIFFERENT WAYS

1 IN YOUR POCKET



2 ON A LANYARD



3 ON A CLIP

FINAL OUTCOME: DIGITAL

CHEATSHEETS

Helping with nurse handoffs during shift changes



Initiating facial recognition.

Please wait.


Initiating facial recognition..

Please wait.


Initiating facial recognition....

Please wait.


Main Menu

Your Patient List

Additional Care

Medication List

Settings

Marie PalmerWelcome back


Your patient list

Patient 1 Bed #

Bed #

Bed #

Bed #

Bed #

Room #

Room #

Room #

Room #

Room #

Patient 2

Patient 3

Patient 5

Patient 4

Home


Name:Room#Bed #Code Status:Diagnosis:Surgery:

Systems InformationNeurological

Cardiovascular

Repiratory

Gastrointestinal/ Genitourinary

Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Cheat SheetHome




Cardiovascular

Repiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Cheat SheetHome

FINAL OUTCOME: DIGITALFINAL OUTCOME: DIGITAL



Cardiovascular

Repiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Cheat SheetHome




Cardiovascular

Repiratory


Skin

Psychosocial

Other Notes

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

1400 | 0200

1500 | 0300

1600 | 0400

1700 | 0500

1800 | 0600

Cheat SheetHome


Code Status:Diagnosis:Surgery:

Systems Information

Neurological

Cardiovascular

Respiratory


Cardiovascular

Respiratory


Skin

Psychosocial


Psychosocial

Shift Schedule

0700 | 1900

0800 | 2000

0900 | 2100

1000 | 2200


0800 | 2000

0900 | 2100

1000 | 2200

1100 | 2300

1200 | 2400

1300 | 0100

THANK YOU

Documents

CORE design studio process book