Friday · July 17, 2026 · Morning Shift

RN Amara Mensah

Ward 4B · Medical-SurgicalHead NurseOn Duty · 7:00 AM – 3:00 PM

Assigned Beds: 9 of 12
Meds Due Next Hr: 3 due
High-Risk Patients: 2 watch

4h 36m

until handover

Emergency status — Code Blue

Ward 3A — resuscitation team responding. 4B on standby for overflow.

Shift Workflow

Vitals Check in progress

Shift Start
7:00 AM
Medication Round
8:00 AM
Vitals Check
10:00 AM
Now
Doctor Round
11:30 AM
Patient Care
1:00 PM
Shift Handover
2:45 PM

My Patients

Harold Nakamura

4B-01

71 yrs · CHF exacerbation · Dr. Chen

High RiskPenicillin3 abnormal vitals

Fluid overload improving on IV furosemide; strict I/O charting.

Obs 10:05 AM

Selma Björk

4B-03

58 yrs · Post-op cholecystectomy · Dr. Osei

MediumNo allergies1 abnormal vitals

Day 1 post-op, pain 3/10, tolerating sips; mobilise this afternoon.

Obs 9:48 AM

Dmitri Volkov

4B-05

44 yrs · Cellulitis, left leg · Dr. Ferreira

StableSulfa drugs

Erythema margin receding; afebrile 24h on IV flucloxacillin.

Obs 9:30 AM

Rosa Delgado

4B-07

82 yrs · CAP + delirium · Dr. Chen

High RiskIsolationCodeine, Latex4 abnormal vitals

Droplet precautions. Intermittent confusion overnight — falls mat in place.

Obs 10:12 AM

Vitals Watch

3 flagged

Monitoring

96 bpm

Heart Rate

Abnormal

148/92 mmHg

Blood Pressure

37.1 °C

Temperature

Abnormal

91 %

SpO₂

Abnormal

22 /min

Respiration

6.4 mmol/L

Blood Sugar

Last recorded 10:05 AM · Harold

Medication Rounds

10:30 AM

High priority

Ceftriaxone 1 g IV

Rosa Delgado · 4B-07

Pharmacy verified

10:45 AM

High priority

Furosemide 40 mg IV

Harold Nakamura · 4B-01

Pharmacy verified

11:00 AM

Controlled

Oxycodone 5 mg PO

Selma Björk · 4B-03

Second signature required

12:00 PM

Insulin glargine 18 u SC

Theo Lindqvist · 4B-09

Pharmacy verified

12:00 PM

Flucloxacillin 1 g IV

Dmitri Volkov · 4B-05

Pharmacy verified

Given

Due < 1 hr

Missed

Controlled

Ward 4B Map

58% occupied

AvailableOccupiedCleaningIsolationEmergencyDischarge today

Free now

Turning over

Leaving today

Nursing Tasks

6 open · 1 delayed

Pending

High10:30 AM

Repeat blood cultures before next dose

Rosa Delgado

Amara M.

High11:00 AM

Daily weight + strict fluid balance

Harold Nakamura

Amara M.

Medium1:30 PM

Discharge checklist + TTO meds teaching

Margaret Whitfield

Jonas P.

In Progress

MediumIn progress

First mobilisation with physio

Selma Björk

Priya K.

LowIn progress

Step glucose checks to 4-hourly

Theo Lindqvist

Amara M.

Completed

Low9:10 AM

Mark cellulitis margin, photo for notes

Dmitri Volkov

Jonas P.

High8:40 AM

Falls risk reassessment

Rosa Delgado

Amara M.

Delayed

HighDue 8:00 AM

8 AM electrolytes — lab draw

Harold Nakamura

Priya K.

Emergency Alerts

Code Blue

10:18 AM

Ward 3A — resuscitation team responding. 4B on standby for overflow.

Critical Patient

10:12 AM

Rosa Delgado (4B-07) — temp 38.4°C, RR 24. Sepsis screen started.

Fall Risk

9:55 AM

Rosa Delgado attempted to stand unassisted overnight. Bed-exit alarm on.

Medication Delay

9:20 AM

Ondansetron for Selma Björk missed — patient in imaging. Rebook now.

Doctor Requests

3 pending

New Order

Dr. Chen

10:15 AM

Increase furosemide to 40 mg BD for Harold Nakamura — recheck U&E at 4 PM.

Lab Request

Dr. Chen

10:10 AM

Blood cultures ×2 for Rosa Delgado before next antibiotic dose.

Pending Instruction

Dr. Osei

9:40 AM

Confirm oral intake for Selma Björk before switching analgesia to PO.

Patient Care Timeline

10:12 AM

Vitals recorded — febrile 38.4°C, escalated to Dr. Chen

9:55 AM

Fall-risk reassessed — bed-exit alarm activated

8:45 AM

Lab sample collected — FBC, CRP, lactate

8:05 AM

Paracetamol 1 g given for pyrexia

7:30 AM

Breakfast served — soft diet, 40% taken with assistance

7:00 AM

Night shift handover reviewed — confused ×2 overnight, settled with reorientation

Shift Performance

Live · resets at handover

6/6

Patients Managed

2/8

Tasks Completed

4/10

Meds Given

3.2m

Avg Response
target < 5m

3/14

Pending Tasks

94%

Vitals On Time

Patient satisfaction (ward pulse)

4.6 / 5

Announcements & Handover

Outgoing Notes

Rosa Delgado sepsis screen in progress — cultures before 10:30 dose
Harold Nakamura on strict I/O; daily weight pending

Incoming Notes

Night shift reported Rosa confused ×2, settled with reorientation
Theo's insulin infusion stopped 6 AM — watch pre-lunch glucose

Critical Patients

Rosa Delgado (4B-07) — febrile, delirium, isolation
Harold Nakamura (4B-01) — SpO₂ 91%, on diuresis

Special Instructions

Controlled drug check due 2 PM — two signatures
PPE audit for isolation bay at 1 PM
Margaret Whitfield family collecting at 3 PM

Ward Activity Feed

Alerts10:18 AM

Code Blue announced on 3A — 4B standby acknowledged

Orders10:15 AM

New order from Dr. Chen — furosemide increased for 4B-01

Vitals10:12 AM

Vitals charted for Rosa Delgado — escalated for fever

Vitals10:05 AM

Vitals charted for Harold Nakamura

Labs9:52 AM

Lab porter collected morning bloods (5 patients)

Meds9:45 AM

Missed dose flagged — ondansetron for 4B-03 rebooked

Transfers9:30 AM

Bed 4B-04 released to cleaning after transfer to 2C

Discharges9:10 AM

Discharge started for Margaret Whitfield — TTOs to pharmacy

Meds8:20 AM

Morning medication round completed — 4 of 4 given

Orders7:05 AM

Bedside handover completed — 6 patients accepted