WARD NCO INCHARGE CHECKLISTS

WARD Is the ward clean and odour free? Heaters are in working condition Beds are in working condition Electro medical Equipment Patient Monitors Oxygen flow meters Defibrillator is working/Batteries charged Nebulizer REMARKS/COMMENTS Yes Yes Yes Svc Svc Svc Svc No No No UnSvc UnSvc UnSvc UnSvc Yes Yes Yes Svc Svc Svc Svc No No No UnSvc UnSvc UnSvc UnSvc Yes Yes Yes Svc Svc Svc Svc No No No UnSvc UnSvc UnSvc UnSvc Yes Yes Yes Svc Svc Svc Svc No No No UnSvc UnSvc UnSvc UnSvc Yes Yes Yes Svc Svc Svc Svc No No No UnSvc UnSvc UnSvc UnSvc Yes Yes Yes Svc Svc Svc Svc No No No UnSvc UnSvc UnSvc UnSvc Yes Yes Yes Svc Svc Svc Svc No No No UnSvc UnSvc UnSvc UnSvc

WARD Is the ward clean and odour free? Heaters are in working condition Beds are in working condition Electro medical Equipment Patient Monitors Oxygen flow meters Defibrillator is working/Batteries charged Nebulizer

Yes Yes Yes Svc Svc Svc Svc

No No No UnSvc UnSvc UnSvc UnSvc

Yes Yes Yes Svc Svc Svc Svc

No No No UnSvc UnSvc UnSvc UnSvc

Yes Yes Yes Svc Svc Svc Svc

No No No UnSvc UnSvc UnSvc UnSvc

Yes Yes Yes Svc Svc Svc Svc

No No No UnSvc UnSvc UnSvc UnSvc

Yes Yes Yes Svc Svc Svc Svc

No No No UnSvc UnSvc UnSvc UnSvc

Yes Yes Yes Svc Svc Svc Svc

No No No UnSvc UnSvc UnSvc UnSvc

Yes Yes Yes Svc Svc Svc Svc

No No No UnSvc UnSvc UnSvc UnSvc

WARD DUTY NURSE CHECKLISTS

At coming on Duty Take proper charge from predecessor nurse Check emergency cupboard and equipment Check vitals and input/output (All Patients) Give treatment to all patients M E N M E N M E N M E N Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No No No

On Duty off Take Vitals of all patients

Check have all pts received treatment Give proper charge hand over to relieving nurse REMARKS OBSERVATIONS

M E N M E N M E N

Yes Yes Yes Yes Yes Yes Yes Yes Yes

No No No No No No No No No

Yes Yes Yes Yes Yes Yes Yes Yes Yes

No No No No No No No No No

Yes Yes Yes Yes Yes Yes Yes Yes Yes

No No No No No No No No No

Yes Yes Yes Yes Yes Yes Yes Yes Yes

No No No No No No No No No

Yes Yes Yes Yes Yes Yes Yes Yes Yes

No No No No No No No No No

Yes Yes Yes Yes Yes Yes Yes Yes Yes

No No No No No No No No No

Yes Yes Yes Yes Yes Yes Yes Yes Yes

No No No No No No No No No

WARD MO I/C CHECKLISTS

Check emergency cupboard Check Defibrillator Check Electro-medical equipment All orders properly carried out in last 24hrs REMARKS OBSERVATIONS Yes Svc Svc Yes No UnSvc UnSvc No Yes Svc Svc Yes No UnSvc UnSvc No Yes Svc Svc Yes No UnSvc UnSvc No Yes Svc Svc Yes No UnSvc UnSvc No Yes Svc Svc Yes No UnSvc UnSvc No Yes Svc Svc Yes No UnSvc UnSvc No Yes Svc Svc Yes No UnSvc UnSvc No

Check emergency cupboard Check Defibrillator Check Electro-medical equipment All orders properly carried out in last 24hrs REMARKS OBSERVATIONS

Yes Svc Svc Yes

No UnSvc UnSvc No

Yes Svc Svc Yes

No UnSvc UnSvc No

Yes Svc Svc Yes

No UnSvc UnSvc No

Yes Svc Svc Yes

No UnSvc UnSvc No

Yes Svc Svc Yes

No UnSvc UnSvc No

Yes Svc Svc Yes

No UnSvc UnSvc No

Yes Svc Svc Yes

No UnSvc UnSvc No

Check emergency cupboard Check Defibrillator Check Electro-medical equipment All orders properly carried out in last 24hrs REMARKS OBSERVATIONS

Yes Svc Svc Yes

No UnSvc UnSvc No

Yes Svc Svc Yes

No UnSvc UnSvc No

Yes Svc Svc Yes

No UnSvc UnSvc No

Yes Svc Svc Yes

No UnSvc UnSvc No

Yes Svc Svc Yes

No UnSvc UnSvc No

Yes Svc Svc Yes

No UnSvc UnSvc No

Yes Svc Svc Yes

No UnSvc UnSvc No

Bedding Flow meter Monitor Diagnosis/ Procedure

O2 Mask Applied

Conscious Level

Vital Signs IV Line Foleys catheter Drains NG Tube Investigations Treatme nt (Time) Demand sent Started Fluids Diet Inform Stat office -- sil/vsil recordMaintenance of patient Informed concern ward Vitals Checked Lines/Drains secured Securely Transported Check & secure all Lines

Patient Name Adm. No. Prepared to receive Patient

PATIENT RECEPTION CHECKLIST SHIFTING CHECKLIST

POST OPERATIVE WARD

Patient Name Date

M E N M E N M E N M E N M E N M E
Physician Progress Notes Previous order carriedout Bedding Oral Cavity Bowel/Blad-der Care NG Feed / Diet Vital Input/Output Cannula / Lines Medicine Demanded Treatment given Sent Report Collected Nebulization Mobilization POST OPERATIVE WARD DAILY CHECKLIST Pt. Care Treatment Investigation Post op Care REMARKS / OBSERVATION Pain control