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UNITED DOCTORS HOSPITAL UNITED DOCTORS HOSPITAL
NURSES DAILY HANDOVER REPORT NURSES DAILY HANDOVER REPORT

Area: 2 SOUTH Day: ADMISSION Area: 2 SOUTH Day: 1ST DAY
Date: Shift: 7AM-7PM Date: Shift: 7AM-7PM
I I
JUNE 15, 2019 JUNE 16, 2019
Patients Name: B.G. OF SAFYYH MOHAMMED NASER Patients Name: B.G. OF SAFYYH MOHAMMED NASER
MRN: 740030 Physician: DR. ASHRAF ALAWADI MRN: 740030 Physician: DR. ASHRAF ALAWADI
Identification Age/Sex: 6 DAYS / FEMALE Room #: 202 Identification Age/Sex: 6 DAYS / FEMALE Room #: 202
Diagnosis: CONJUNCTIVITIS, FEVER UNSPECIFIED Diagnosis: CONJUNCTIVITIS, FEVER UNSPECIFIED
Operation done: Operation done:
Consultation: Consultation:
S List of Medications1 FEVADOL
2 EPICOCILLIN
4 SALINOSE
5 PRIMOCEF
S List of Medications1 FEVADOL
2 EPICOCILLIN
4 SALINOSE
5 PRIMOCEF
3 TOBRACIN 6 3 TOBRACIN 6
IV Fluid/Blood & Blood Products: IV Fluid/Blood & Blood Products:
Situation IV CANNULA Situation
Nursing Treatment: Nursing Treatment:
Relevant past Medical History: Relevant past Medical History:

B Any Medications at home: B Any Medications at home:
Background Allergies:none Background Allergies:none

Latest Vital Signs: Latest Vital Signs:
BP Temp BP Temp
PR SPO2 PR SPO2
A RR
Fall Risk/Mobility: LOW RISK Psychosocial: A RR
Fall Risk/Mobility: LOW RISK Psychosocial:
Pressure Ulcer: LOW RISK Pressure Ulcer: LOW RISK
Diet: FEEDING Diet:
Assessment Wound: Dressing: Assessment Wound: Dressing:
Urinary: Bowel: Urinary: Bowel:
Nursing Care Plan: Nursing Care Plan:
R
Recommend
To do List:
R
Recommend
To do List:
ation Red Flag/Monitoring: ation Red Flag/Monitoring:
ENDORSED BY: RECEIVED BY: ENDORSED BY: RECEIVED BY:

NASER
Area: 2 NORTH Day: ADMISSION Area: 2 NORTH Day: 1ST DAY
Date: Shift: 7AM-7PM Date: Shift: 7PM-7AM
I I
June 15, 2019 June 16, 2019
Patients Name: FAWAZ MUBEAREAK MUTER ALSOLAMI Patients Name: FAWAZ MUBEAREAK MUTER ALSOLAMI
MRN: 735773 Physician: DR. SAMIR RAGHEB MRN: 735773 Physician: DR. SAMIR RAGHEB
Identification Age/Sex: 41 /MALE Room #: 203 Identification Age/Sex: 41 /MALE Room #: 203
Diagnosis: ANAL FISTULA Diagnosis: ANAL FISTULA
Operation done: FISTULOTOMY Operation done: FISTULOTOMY
S List of Medications1 TRAMAL
2 XEFO
4
5
S List of Medications 4
5
3 6 6
Situation IV CANNULA Situation


BP Temp BP Temp
PR SPO2 PR SPO2
A RR
Fall Risk/Mobility: Psychosocial:
Pressure Ulcer: LOW RISK Pressure Ulcer:
Diet: ORAL FLUIDS - REGULAR DIET (breastfast) Diet:
R
Recommend
To do List:
R
Recommend
To do List:
ENDORSED BY: RECEIVED BY:

I I
JUNE 15, 2019 JUNE 16, 2019
Patients Name: KHALED KHALEL ALSHAHER BAHSAM ALDYN Patients Name: KHALED KHALEL ALSHAHER BAHSAM ALDYN
MRN: 637434 Physician: DR. ISMAIL RADWAN MRN: 637434 Physician: DR. ISMAIL RADWAN
Identification Age/Sex: 39 / MALE Room #: 209 Identification Age/Sex: 39 / MALE Room #: 209
Diagnosis: BENIGN LIPOMATOUS NEOPLASM Diagnosis: BENIGN LIPOMATOUS NEOPLASM
Operation done: EXCISION OF LIPOMA Operation done: EXCISION OF LIPOMA
S List of Medications1
2
4
5
2
4
5
3 6 3 6
Situation IV CANNULA Situation IV CANNULA
HGB: 16.4 BLOOD GROUP AB+ HGBSAG: NEGATIVE HGB: 16.4 BLOOD GROUP AB+ HGBSAG: NEGATIVE
B B
Any Medications at home: Any Medications at home:
BP Temp BP Temp
PR SPO2 PR SPO2
A RR
Diet: REGULAR DIET Diet: REGULAR DIET
Assessment
Wound: Dressing: OPSITE Assessment
Wound: Dressing:
R R
To do List: To do List:
Recommend Recommend
Area: 2 NORTH Day: 6TH DAY Area: 2 NORTH Day: 7TH DAY
I I
JUNE 15, 2019 JUNE 16, 2019
Patients Name: HUSSEIN MOHAMMED AL SHAKI Patients Name: HUSSEIN MOHAMMED AL SHAKI
MRN: 320442 Physician: DR. ISMAIL RADWAN MRN: 320442 Physician: DR. ISMAIL RADWAN
Identification Age/Sex: 19 / MALE Room #: 206 Identification Age/Sex: 19 / MALE Room #: 206
Diagnosis: ACUTE APPENDICITIS UNSPECIFIED Diagnosis: ACUTE APPENDICITIS UNSPECIFIED
Operation done: LAPAROSCOPIC AP - OPEN LAPAROTOMY Operation done: LAPAROSCOPIC AP - OPEN LAPAROTOMY
Consultation: DENTAL C/O Dr. Mustafa Consultation: DENTAL C/O Dr. Mustafa
S List of Medications1 XEFO

2 DANSENTRON
4
5
S List of Medications: 1 XEFO
2 DANSENTRON
4
5
3 6 3 6
Situation D5 NS AT 125ML/H Situation

HGB: 12.9(15-6-2019) O+ HIV/HGBSAG: NEGATIVE HGB: 12.9(15-6-2019) O+ HIV/HGBSAG: NEGATIVE
Background Allergies:NONE Background Allergies:NONE

BP Temp BP Temp
PR SPO2 PR SPO2
A RR
Diet: CLEAR FLUIDS Diet:
Assessment Wound: Dressing: OPSITE Assessment Wound: Dressing:
R R
Recommend Recommend

I I
FEBRUARY 24, 2019 FEBRUARY 25, 2019
Patients Name: MARYAM SALEH SAED ALZAHRANI Patients Name: MARYAM SALEH SAED ALZAHRANI
MRN: 662039 Physician: DR. HODA ESMAT MRN: 662039 Physician: DR. HODA ESMAT
Identification Age/Sex: 22 / FEMALE Room #: Identification Age/Sex: 22 / FEMALE Room #:
Diagnosis: G4P2+1 39 WEEK+5DAYS ..... LABOUR PAIN Diagnosis: G4P2+1 39 WEEK+5DAYS ..... LABOUR PAIN
Operation done: NSVD Operation done: NSVD
S List of Medications1 CEFODOX
2 OLFEN
4 AVOMEB
5 AVOBAN
S List of Medications1 CEFODOX
2 OLFEN
4 AVOMEB
5 AVOBAN
3 NORMACOL 6 BETASEPT 3 NORMACOL 6 BETASEPT
Situation IVC Situation IVC
HGB: 11.2 O+ HGBSAG: NEGATIVE HGB: 11.2 O+ HGBSAG: NEGATIVE

BP Temp BP Temp
PR SPO2 PR SPO2
A RR
Diet: REGULAR DIET Diet: REGULAR DIET
R R
Recommend Recommend

PAIN
Area: 2 NORTH Day: ADMISSION Area: 2 NORTH Day: 1st day
Date: FEBRUARY 24, 2019 Shift: 7AM-7PM Date: FEBRUARY 25, 2019 Shift: 7PM-7AM
I Patients Name: AMANY DKHYL ALLH ATYA ALHARBI I Patients Name: AMANY DKHYL ALLH ATYA ALHARBI
MRN: 340269 Physician: DR. FATMA ELNEMR MRN: 340269 Physician:
Identification Age/Sex: 33 / FEMALE Room #: Identification Age/Sex: 33 / FEMALE Room #:
Diagnosis: G4P2+1,PREVIOUS 2CS 38 WKS Diagnosis: G4P2+1,PREVIOUS 2CS 38 WKS
Operation done: ELSCS Operation done: ELSCS
S List of Medications1 ZOLECIN
2 HIBOR
4 METRONIDAZOLE
5 PETHDINE
2
4
5
3 PERFALGAN 6 ROFENAC 3 6
Situation D5 1/2 alternate RL @125ML Situation

hbg. 9.5 0(+) HIV/ hbsag (-)ve hbg. 9.5 0(+) HIV/ hbsag (-)ve

BP Temp BP Temp
PR SPO2 PR SPO2
A RR
Diet: Diet:
STERI-STRIP, MEPILEX, RELAX PAD AND
Assessment Wound: Dressing: HYPAFIX as PRESSURE DRESSING Assessment Wound: Dressing:
Urinary: FOLEY CATHETER Bowel: Urinary: Bowel:
R
Recommend
To do List:
R
Recommend
To do List:
ENDORSED BY: RECEIVED BY:

Area: 2 NORTH Day: admission Area: 2 NORTH Day: 1ST DAY
Date: FEBRUARY 7, 2019 Shift: Date: FEBRUARY 7, 2019 Shift:
I
7PM-7AM
I
7AM-7PM
Patients Name: ASHWAQ YHYA MOHAMMED ALTHARY Patients Name: ASHWAQ YHYA MOHAMMED ALTHARY
MRN: 713151 Physician DR. REHAM ADEL MRN: 713151 Physician: DR. REHAM ADEL
Age/Sex: 30/ FEMALE Room #: 219-A 30/ FEMALE
Identificatio
n Identification Age/Sex: Room #: 219-A
Diagnosis: G2P1 38 WEEKS PREVIOUS CS Diagnosis: G2P1 38 WEEKS PREVIOUS CS
Operation done:ELSCS spinal under Dr. Yasser Operation done: ELSCS spinal under Dr. Yasser
Consultation: Dr. Fathy Consultation: Dr. Fathy
S List of Medication1 MESPORINE
2 CLEAXANE
4 METRONIDAZOLE
5 PERFALGAN
S List of Medications: 1 MESPORINE
2 CLEAXANE
4 METRONIDAZOLE
5 PERFALGAN
3 LAXOLINE 6 XEFO 3 LAXOLINE 6 XEFO
Situation LR alternate D5W AT 125ML/H Situation

hbg. 11.4 A + HIV/ hbsag (-)ve hbg. 11.4 A + HIV/ hbsag (-)ve
Background Allergies NONE Background Allergies: NONE

BP Temp BP Temp
PR SPO2 PR SPO2
A RR
Fall Risk/MobilityLOW RISK Psychosocial: A RR
Pressure Ulcer: LOW RISK Pressure Ulcer:
Diet: ORAL FLUID after 8H due 9pm, REGULAR if flatus (+) Diet:
STERISTRIPS, MEPILEX,, RELAX PAD,
Assessment
Wound: Dressing: HYPAFIX
Assessment
Wound: Dressing:
Urinary: foley catheter Bowel: Urinary: Bowel:
R
Recommen
To do List:
R
Recommend
To do List:
dation Red Flag/Monitoring: ation Red Flag/Monitoring:

I I
FEBRUARY 13, 2019 FEBRUARY 13, 2019
Patients Name: MAHMOUD IDREES HUSSEN FLATAA Patients Name: MAHMOUD IDREES HUSSEN FLATAA
MRN: 706762 Physician: DR. HATEM MRN: 706762 Physician: DR. HATEM
Identification Age/Sex: 74 / MALE Room #: 219-B Identification Age/Sex: 74 / MALE Room #: 219-B
Diagnosis: SENILE CATARACT Diagnosis:
Operation done: LT CATARACT EXTRACTION & IOL IMPLATION Operation done:
5
5
6 6
IV Fluid/Blood & Blood Products: IV Fluid/Blood & Blood Produ
Situation IV CANNULA Situation IV CANNULA
hbg. 15.9 B(+) HIV/ hbsag (-)ve hbg. 10.2 AB(+) HIV/ hbsag (-)ve
Background Allergies: Background Allergies:

BP Temp BP Temp
PR SPO2 PR SPO2
A RR
Fall Risk/Mobility: HIGH RISK Psychosocial: A RR
Fall Risk/Mobility: HIGH RISK Psychosocial:
Diet: LOW SALT, LOW FAT Diet: LOW SALT, LOW FAT
R R
Recommend Recommend

Area: 2 SOUTH Day: Area: Day:
Date: Shift: Date: Shift:
I Patients Name: I Patients Name:
MRN: Physician: MRN: Physician:
Identification Age/Sex: Room #: Identification Age/Sex: Room #:
Diagnosis: Diagnosis:
Operation done: Operation done:
2
4
5
2
4
5
3 6 3 6
Situation Situation

Background Allergies: Background Allergies:

BP Temp BP Temp
PR SPO2 PR SPO2
A RR
Fall Risk/Mobility: Psychosocial: A RR
Pressure Ulcer: Pressure Ulcer:
Diet: Diet:
R
Recommend
To do List:
R
Recommend
To do List:


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UNITED DOCTORS HOSPITAL UNITED DOCTORS HOSPITAL

NURSES DAILY HANDOVER REPORT NURSES DAILY HANDOVER REPORT

Nursing Treatment: Nursing Treatment:

Relevant past Medical History: Relevant past Medical History:

Background Allergies:none Background Allergies:none

ation Red Flag/Monitoring: ation Red Flag/Monitoring:

ENDORSED BY: RECEIVED BY: ENDORSED BY: RECEIVED BY:

Nursing Treatment: Nursing Treatment:

Relevant past Medical History: Relevant past Medical History:

Background Allergies:none Background Allergies:none

ation Red Flag/Monitoring: ation Red Flag/Monitoring:

ENDORSED BY: RECEIVED BY:

S List of Medications1 XEFO

Nursing Treatment: Nursing Treatment:

Background Allergies:NONE Background Allergies:NONE

ENDORSED BY: RECEIVED BY: ENDORSED BY: RECEIVED BY:

Background Allergies:NONE Background Allergies:NONE

ENDORSED BY: RECEIVED BY: ENDORSED BY: RECEIVED BY:

Nursing Treatment: Nursing Treatment:

Background Allergies:NONE Background Allergies:NONE

ation Red Flag/Monitoring: ation Red Flag/Monitoring:

ENDORSED BY: RECEIVED BY:

Nursing Treatment: Nursing Treatment:

Background Allergies NONE Background Allergies: NONE

dation Red Flag/Monitoring: ation Red Flag/Monitoring:

ENDORSED BY: RECEIVED BY: ENDORSED BY: RECEIVED BY:

Background Allergies: Background Allergies:

ENDORSED BY: RECEIVED BY: ENDORSED BY: RECEIVED BY:

Nursing Treatment: Nursing Treatment:

Relevant past Medical History: Relevant past Medical History:

Background Allergies: Background Allergies:

ation Red Flag/Monitoring: ation Red Flag/Monitoring:

ENDORSED BY: RECEIVED BY: ENDORSED BY: RECEIVED BY:

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