Emergency Department Shift Report

Date:

Shift:

Prepared By:

Charge Nurse:

Physician(s):

Patient Census

Total Patients:

New Admissions:

Transfers:

Discharges:

Events / Critical Incidents

Details:

Code Blue / Rapid Response

Notes:

Staffing Issues

Staff Shortages:

Agency Staff Used:

Equipment / Supplies

Issues/Needs:

Other Notes

Additional Comments: