LPN Med Pass Shift Organizer — Print this template for every shift

LPN Med Pass Shift Organizer

Print one per shift · Chart as you go · Never batch at end of shift
Date:
Shift:
Nurse:
 
 
 
 
Room Patient / Initials 0600 0800 1000 1200 1400 1600 1800 2000 ✓ Notes / PRN / Refusals
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            

Start-of-Shift Checklist

Received report from outgoing nurse
Reviewed new orders since last shift
Checked MAR for changes / new meds
Counted narcotics with outgoing nurse
Identified high-priority patients (falls, new admits)
Checked crash cart / emergency equipment
Confirmed CNA assignments / delegated tasks
Located charge nurse / supervising RN

End-of-Shift Checklist

All med passes documented in MAR
PRN meds documented with effectiveness
Refusals documented with reason + notification
Narcotic count completed with incoming nurse
Assessment notes charted for all patients
Incidents / falls / changes reported to RN
Physician callbacks / new orders noted
Report prepared for incoming nurse

Follow-Ups / Callbacks

 
 
 
 

Report Notes for Next Shift

 
 
 
 
Free LPN Shift Organizer · Print one per shift · Chart as you go, never batch · Downloaded from lpn-rn.com