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Bedside shift report template

Bedside shift report template

This template facilitates thorough patient handovers, improving safety and communication between nursing shifts while engaging patients in their care plan.

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The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
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or Download template as PDF
Bedside shift report template

This template facilitates thorough patient handovers, improving safety and communication between nursing shifts while engaging patients in their care plan.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

Enhance patient safety and nursing accountability with our bedside shift report template, designed to facilitate thorough communication during critical care transitions. This template structures the handover process directly at the patient’s bedside, ensuring both incoming and outgoing nurses visualize the patient’s condition while discussing vital information.

Studies have shown that implementing bedside shift reports boosts quality, safety, and satisfaction. When you’re working in high-acuity units with rapidly changing patient conditions, this template helps prevent information gaps that could lead to adverse events—like ensuring a patient’s pain medication schedule is clearly communicated to the incoming nurse.

Related categories

  • Health and safety management templates
  • Health care templates
  • Workforce management and HR templates
Preview of the template
Entity
Page 1
Patient Information
Patient Name
Patient ID
Date of Birth
Admit Date
Room/Bed
Attending Physician
Code Status
Isolation Precautions
General Assessment
Chief Complaint
Vital Signs
Oxygen Needs
Mentation
Pain Level (0-10)
Medical/Surgical
Current Diagnosis
Planned Procedures
IV Access
Current Medications
Recent Lab Results
Intake and Output
Nursing Interventions
Treatments/Dressings
Activity Level
Diet
Fall Risk
Skin Integrity
Patient/Family Education
Discharge Plans
Teaching Completed
Concerns/Questions
Nurse-to-Nurse Report
Shift Change Time
Nurse Giving Report
Nurse Receiving Report
Report Given/Received
Additional Comments

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Related resources

Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

Topic guides

Read in-depth guides covering key topics related to this article.

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Frequently asked questions

How can I use this template while maintaining patient privacy during bedside reporting?

Position yourself to speak quietly at the bedside and use professional terminology. Before beginning, ask visitors to step out temporarily if discussing sensitive information. For particularly sensitive diagnoses or issues, consider briefly stepping away from the bedside to discuss these specific details before returning to complete the patient-involved portion of the report.

How long should a proper bedside shift report take using this template?

A well-executed bedside shift report using this template typically takes 3-5 minutes per patient. The structured format helps keep the exchange focused and efficient. If you find reports consistently taking longer, you might need to refine your approach by focusing on the most relevant information and saving detailed discussions for after completing all patient handovers.

What’s a good way to involve my patients during the bedside shift report with this template?

Introduce both nurses to the patient at the start of the report. Directly ask patients if they have questions or concerns to add, and confirm key information with them: “We have that your pain level is currently at 3, is that still accurate?” This active involvement improves accuracy and helps patients feel more engaged in their care plan.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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