医院交班记录(英文版)

医生危重病人交班记录范文

医生危重病人交班记录范文英文回答：As a doctor, it is crucial for me to accurately and comprehensively document the condition and progress of a critically ill patient during a shift change. This ensures that the incoming medical team has all the necessary information to continue providing the best possible care. In this shift handover report, I will provide a detailed account of the patient's current status, any significant changes since the last report, ongoing treatments and interventions, as well as any concerns or issues that need to be addressed.Firstly, I would begin by stating the patient's name, age, and relevant medical history. For example, "Mr. Smith, a 65-year-old male with a history of hypertension and diabetes, was admitted to the intensive care unit three days ago due to acute respiratory distress syndrome (ARDS)."Next, I would provide a concise summary of thepatient's current condition. This would include vital signs, such as heart rate, blood pressure, respiratory rate, and oxygen saturation levels. Additionally, I would mention any changes in the patient's level of consciousness, pain score, or overall clinical stability. For instance, "Currently, Mr. Smith is stable with a heart rate of 80 beats per minute, blood pressure of 120/80 mmHg, respiratory rate of 18 breaths per minute, and oxygen saturation of 95% on room air. He remains alert and oriented, with no complaints of pain."Following the summary, I would discuss any significant changes or events that have occurred since the previous report. This could include new laboratory results, radiographic findings, or complications that have arisen.It is important to provide specific details and relevant context for these changes. For example, "Since the last report, Mr. Smith's white blood cell count has increased to 15,000 cells/mm3, indicating a possible infection. A chestX-ray revealed bilateral infiltrates suggestive ofpneumonia. He has started on broad-spectrum antibiotics and is being closely monitored for any signs of sepsis."Moving on, I would outline the ongoing treatments and interventions that the patient is receiving. This could include medications, ventilator settings, or any other supportive measures. It is important to mention the rationale behind these interventions and any adjustments that have been made. For instance, "Mr. Smith is currently receiving intravenous antibiotics, diuretics to managefluid overload, and analgesics for pain control. His ventilator settings have been adjusted to maintain a tidal volume of 6 mL/kg and positive end-expiratory pressure (PEEP) of 8 cmH2O to improve oxygenation."Furthermore, I would address any concerns or issuesthat need to be brought to the attention of the incoming medical team. This could include potential complications, unresolved clinical questions, or pending consultations or procedures. It is important to provide clear recommendations and suggestions for further management. For example, "One concern is the development of acute kidneyinjury, as indicated by an upward trend in serum creatinine levels. I recommend consulting with the nephrology team for further evaluation and consideration of renal replacement therapy if necessary."In conclusion, it is essential for a shift handover report to provide a comprehensive and concise overview of a critically ill patient's condition. By including relevant details, significant changes, ongoing treatments, and any concerns or issues, the incoming medical team can seamlessly continue providing optimal care. Effective communication and documentation are vital in ensuring patient safety and continuity of care.中文回答：作为医生，准确全面地记录危重病人在交班时的情况和进展对我来说至关重要。

门诊护士交接班记录书写范文

门诊护士交接班记录书写范文英文回答：Handover Record for Outpatient Nurses.Date: [Date]Shift: [Shift time]Handover from: [Name of outgoing nurse]Handover to: [Name of incoming nurse]1. Patient Information:Name: [Patient's name]Age: [Patient's age]Gender: [Patient's gender]Diagnosis: [Patient's diagnosis]Allergies: [Patient's allergies, if any]Special needs: [Any special requirements or considerations for the patient]患者信息：姓名，[患者姓名]年龄，[患者年龄]性别，[患者性别]诊断，[患者诊断]过敏史，[患者过敏史，如果有的话]特殊需求，[患者的特殊要求或考虑因素]2. Medications:Current medications: [List of medications the patient is currently taking]Medication changes: [Any changes made to the patient's medication during the shift]药物：当前用药，[患者目前正在服用的药物清单]药物变更，[在本班次期间对患者的药物是否有任何变更]3. Procedures and Treatments:Scheduled procedures: [Any scheduled procedures or treatments for the patient]Completed procedures: [Any procedures or treatments completed during the shift]程序和治疗：预约的程序，[患者的任何预约程序或治疗]已完成的程序，[在本班次期间已完成的任何程序或治疗]4. Vital Signs and Assessments:Vital signs: [Record the patient's vital signs, including temperature, blood pressure, heart rate, and respiratory rate]Assessments: [Any relevant assessments conducted during the shift, such as pain assessment or wound assessment]生命体征和评估：生命体征，[记录患者的生命体征，包括体温、血压、心率和呼吸率]评估，[在本班次期间进行的任何相关评估，如疼痛评估或创面评估]5. Patient's Condition:Changes in condition: [Any changes in the patient's condition observed during the shift]Concerns: [Any concerns or issues regarding the patient's condition]患者状况：状况变化，[在本班次期间观察到的患者状况的任何变化]关注事项，[关于患者状况的任何关注或问题]6. Doctor's Orders:New orders: [Any new orders received from the doctor during the shift]Pending orders: [Any pending orders that need to be followed up on]医嘱：新医嘱，[在本班次期间从医生那里收到的任何新医嘱]待处理的医嘱，[需要跟进的任何待处理医嘱]7. Other Information:Family updates: [Any updates or communication with the patient's family]Equipment issues: [Any issues or concerns regarding equipment used during the shift]其他信息：家属更新，[与患者家属的任何更新或沟通]设备问题，[在本班次期间使用的任何设备问题或关注事项]8. Follow-up Actions:Actions taken: [Any actions taken during the shift in response to the patient's condition or doctor's orders]Follow-up required: [Any follow-up actions that need to be taken by the incoming nurse]后续行动：已采取的行动，[在本班次期间针对患者状况或医嘱采取的任何行动]需要后续跟进，[需要由接班护士采取的任何后续行动]英文回答结束。

医生危重病人交班记录范文

医生危重病人交班记录范文英文回答:As a doctor, one of the important tasks during a shift change is to provide a comprehensive handover report for critically ill patients. This report ensures that the incoming medical team has all the necessary information to continue providing appropriate care.Firstly, I would start by providing a brief background on the patient's condition. For example, I would mention the primary diagnosis, any significant comorbidities, and the reason for admission. This helps to set the context for the patient's current state.Next, I would discuss the patient's current vital signs and any recent changes. This includes their heart rate, blood pressure, respiratory rate, and oxygen saturation levels. I would also mention any interventions or treatments that have been initiated, such as intravenousmedications or mechanical ventilation.Following that, I would highlight any recent laboratory or imaging results that are relevant to the patient's condition. For instance, if the patient had a recent chest X-ray showing worsening lung infiltrates, I would emphasize this finding and its implications for their respiratory status.Additionally, it is crucial to address any immediate concerns or pending issues. This could include pending test results, pending consults, or any pending procedures. By highlighting these issues, the incoming medical team can prioritize their actions accordingly.Furthermore, it is essential to mention any recent changes in the patient's clinical course. This could involve improvements or deteriorations in their condition, as well as any interventions that have been implemented to address these changes. For example, if the patient's blood pressure dropped suddenly and required aggressive fluid resuscitation, I would emphasize this event and its impacton the patient's overall stability.Lastly, I would conclude the handover report by summarizing the patient's current plan of care. This includes medications, interventions, and any anticipated changes or goals for the next few hours. It is important to communicate any specific instructions or concerns that the incoming medical team should be aware of.中文回答：作为一名医生，在交接班时，为危重病人提供全面的交班报告是一项重要任务。

医院中英文早交班模板

医院双语交班模板科室名称：急诊科科室主任：**护士长：**交班地点：A区1层医生办公室每周固定双语早交班时间：每周四，08:00Department name: Department of Emergency MedicineDepartment Director: **Chief Nurse：**Shift location: Doctor's office on the 1st floor of Area A.Weekly fixed bilingual early shift handover time: Every Thursday,8:00急诊科主任：大家早上好，今天是9月29日，开始早交班。

Director of Emergency Department:Good morning, everyone, today is September 29th . The morning shift starts.急诊监护室护士：急诊科监护室目前病人3人，新入院1人，出院1 人，病危2人，病重1 人。

Emergency Care Unit Nurse:At present,there are 3 patients in the Emergency Department Care Unit, 1 newly admitted,1 discharged,2 critically ill and 1 seriously ill.抢救室A岗护士：大家早上好，急诊科24小时接诊130人，神经内科接诊6人，妇产科接诊5人。

夜班接诊病人50人，抢救15人，收入院12人，其中ICU收住2人，CCU收住2人，呼吸科收住1人，消化科收入院1人，神经内科收入院1人，骨科收住1人，神经外科收住1人，泌尿外科收入院1人，介入科收入院1人，急诊科住院收住1人。

Resuscitation room A post nurse:Good morning, everyone. The emergency department received 130 people in 24 hours, the neurology department 6,and the obstetrics and gynecology department5.Night shift accepted 50 patients, rescued 15 patients , admitted 12 patients ,of which 2 in the ICU,2 in the CCU,1 in the digestive department,1 in the neurology department,1 in the orthopaedic department,1 in the neurosurgery,1 in the urology,1 in the interventional department,1 in the energency department in hospital.急诊普通住院护士：急诊普通住院目前病人13人，新入院1人，出院1人。

护士英语交班报告范文

护士英语交班报告范文Nurse's Morning Handover Report.Good morning, colleagues. As we gather here for the morning handover, I would like to share with you the overview of the patients' conditions from my shift last night.Firstly, I would like to mention that overall, the patients are in stable condition. However, there are a few cases that we need to keep a close eye on.Starting with Bed 10, we have Mr. Wang Hua who is suffering from coronary heart disease, angina pectoris, and acute extensive anterior myocardial infarction. Last night, at around 22:30, the patient complained of sudden chest pain. Immediate medical attention was provided, and oxygen was administered. His vital signs have been stable since then, but we should continue to monitor him closely.Another patient, Ms. Yu Haoshuang, underwent excision of a cyst of the bile duct plus Roux-en-Y cholecystojejunostomy last night. She returned to the ward at 18:00 yesterday. Her vital signs are within normal limits, but we need to ensure that she recovers smoothly and monitor for any post-operative complications.Apart from these two cases, there were 36 patients in the ward last night, including 3 patients who were discharged and 2 new admissions. All the other patients are stable and do not require immediate attention.During my shift, I also observed that most patients slept well and blood specimens were taken as scheduled. No abnormalities were noted in their vital signs in the morning.Additionally, I would like to mention that the ward was kept clean and tidy throughout the night. All equipment and supplies were in order, and the patients were provided with timely care and attention.In conclusion, the past night was relatively uneventful, but we must remain vigilant and prepared for any emergency situations. Let's work together to ensure the safety and comfort of our patients. Thank you for your attention.。

[整理版]英语交班范本

[整理版]英语交班范本Example of English Morning ReportUrological Departmentmorning report.There are 50 patients in our ward. Three patients were discharged from the hospital yesterday :Bed 1,Bed 28 and Bed 40.Bed 28.Mr.周仪水,82-years-old,with advanced bladder cancer.was discharged from the hospital against advice due to financial problem yesterday evening. Health-care suggestions had been made to these patients.Three patients were admitted yesterday:Bed 1,Mr.,age 60,complains of painless hematuria for severalweeks.The tentative diagnosis of bladder carcinoma is made according to ultrasonography at local hospital.Cystoscopy will be performed this afternoon for final diagnosis.(further investigation)Bed 28,Mr.,aged 55,is a patient with BPH(benign prostatic hyperplasia),suffering from urgency ,frequency of micturition and weak urinary stream for about 3 years. Five days before admission ultrasonogramshowed a large prostate gland of 60 gm associated with a bladder stone 4cm in diameter. Because of acute urinay retention,catheterization was conducted yesterday afternoon. The urine is draining well and slightly bloody.Bed40,Miss her definite diagnosis is calculus of right kidney according to IVU(intravenous urogaphy),admitted for undergoingESWL(extracorporeal shock wave lithotripsy).Blood samples of these 3 new patients were taken and sent to the laboratory for examination this morning.Two patients will be operated on today:Bed 9,Mr.封云清 with hydronephrosis.will undergo preloplasty under general anesthesia.He had a good sleep last night. After administration of 2 pills of valium by mouth, he was sent to the operating room at 7:30 am.DVIU(direct vision internal urethrotomy) will be perfomed under epidural block anesthesia for Mr.王仅仅,Bed 26, with urethral stricture. The patient’s conditions such as vital signs and mood are stable and everything for pre-operative preparation has been made.One patient was operated on yesterday:Bed 23,Mr.洪草君,with carcinoma of renal pelvis on the right side, underwent hand-assisted laparoscopic right nepho-ureterectomy and partial cystectomy under general anesthesia yesterday. The operation was successful and the patient was send back to the ward at12:30pm.Intensive care managements including oxygen inhalation, bedside electrocardiography supervision and venous transfusion were conducted.Up to now, the patient’s respiration was smooth, heart rate 80 to 92/min, blood pressure 123-142/62-80 mmHg and SO2(saturation) 96-100%.Because of using PCA(patient controlled analgesia),the patie nt didn’t feel much pain in his wound. The dressing was dry and only 10 ml bloodyfluid was drained. The urethral catheter drained 1100ml clear urine. But special attention should be paid to the patient’s temperature. He had a high fever of 39? at 8pm yesterday evening. After administrationof 1 pill indomethacin per rectum and alcohol sponge bath for 1 hour , the temperature was still high, 39.1? at 9:30pm. And then 1ml ant odine was injected intramuscularly, his temperature dropped down to38.3? 1 hour later .I took his temperature just now. It was 37.5? and he feels much better. The postoperative input was 2500ml, i.e. the volume of the intravenous infusion. And the output was 1760ml including urine 1150ml, drainage 10ml and sweat 600ml respectively. The patient could be able to cough and do deep breathing from time to time to expand his lung according to nursing advice. Morning nursing such as oral care, preventing bedsore care and perineum cleaning has being carried out and the patient can rest in bed on semireclining position now.Following patients also should be reported:Bed 25,Miss 倪水蓝,is a patient with pheochromocytoma on the left side, 3days after left adrenalectomy. Her condition is doing well and started to break wind. Therefore a liquid diet is suggested today.Bed 45,Mr.孙桥,is a patient with BPH, 2 days afterTURP(transurethral resection of the prostate). Continuous bladder irrigation through a 3-way catheter is still carrying out and draining well. The colour of the irrigated fluid looks slightly bloody. Thetemperature was 37.2? at 6am this morning. I told him to drink more water, take some vegetables and fruits to prevent constipation and he accepted.Two patients had a fever : Bed 7,38.1?; Bed 30,38?.The input and output in 24 hours for patients at Bed 34 and Bed 42 were normal, writtendown on the blackboard.That’s all for today’s morning report .Now the duty doctor, please.参考译文英语晨交班范例各位～早上好～现在开始晨交班。

医院双语早交班模板

医院双语早交班模板下午交班1、当班医生/护士：XXX2、病人情况一、张XX：（概要报告）二、张XX：（概要报告）三、张XX：（概要报告）3、当班工作概要：（1）执行了….的护理；（2）及时反馈有关护理信息；（3）及时与主管沟通护理工作；（4）及时处理护理上的问题。

4、转班需注意事项：（1）贴心转诊；（2）下班前及时通知值班医生和护士；（3）完成下班工作交接程序；（4）检查病人生命体征情况；（5）检查安全设施及完成其它有关事宜。

Morning Handover1. On Duty Physicians/Nurses: XXX2. Patient Conditions:A. Zhang XX：(Summary Report)B. Zhang XX：(Summary Report)C. Zhang XX：(Summary Report)3. Summary of on Duty Work:(1) Carried out.....nursing tasks;(2) Timely feedback on nursing information;(3) Timely communicated with the relevant supervisor regarding nursing work;(4) Timely dealt with nursing issues.4. Handover Concerns:(1) Careful transfer;(2) Notify on-duty physicians and nurses before leaving;(3) Complete the handover process;(4) Check the patient's vital signs;(5) Check the safety facilities and complete other related matters.。

[整理版]英语交班范本

[整理版]英语交班范本Example of English Morning ReportUrological Departmentmorning report.There are 50 patients in our ward. Three patients were discharged from the hospital yesterday :Bed 1,Bed 28 and Bed 40.Bed 28.Mr.周仪水,82-years-old,with advanced bladder cancer.was discharged from the hospital against advice due to financial problem yesterday evening. Health-care suggestions had been made to these patients.Three patients were admitted yesterday:Bed 1,Mr.,age 60,complains of painless hematuria for severalweeks.The tentative diagnosis of bladder carcinoma is made according to ultrasonography at local hospital.Cystoscopy will be performed this afternoon for final diagnosis.(further investigation)Bed 28,Mr.,aged 55,is a patient with BPH(benign prostatic hyperplasia),suffering from urgency ,frequency of micturition and weak urinary stream for about 3 years. Five days before admission ultrasonogramshowed a large prostate gland of 60 gm associated with a bladder stone 4cm in diameter. Because of acute urinay retention,catheterization was conducted yesterday afternoon. The urine is draining well and slightly bloody.Bed40,Miss her definite diagnosis is calculus of right kidney according to IVU(intravenous urogaphy),admitted for undergoingESWL(extracorporeal shock wave lithotripsy).Blood samples of these 3 new patients were taken and sent to the laboratory for examination this morning.Two patients will be operated on today:Bed 9,Mr.封云清 with hydronephrosis.will undergo preloplasty under general anesthesia.He had a good sleep last night. After administration of 2 pills of valium by mouth, he was sent to the operating room at 7:30 am.DVIU(direct vision internal urethrotomy) will be perfomed under epidural block anesthesia for Mr.王仅仅,Bed 26, with urethral stricture. The patient’s conditions such as vital signs and mood are stable and everything for pre-operative preparation has been made.One patient was operated on yesterday:Bed 23,Mr.洪草君,with carcinoma of renal pelvis on the right side, underwent hand-assisted laparoscopic right nepho-ureterectomy and partial cystectomy under general anesthesia yesterday. The operation was successful and the patient was send back to the ward at12:30pm.Intensive care managements including oxygen inhalation, bedside electrocardiography supervision and venous transfusion were conducted.Up to now, the patient’s respiration was smooth, heart rate 80 to 92/min, blood pressure 123-142/62-80 mmHg and SO2(saturation) 96-100%.Because of using PCA(patient controlled analgesia),the patie nt didn’t feel much pain in his wound. The dressing was dry and only 10 ml bloodyfluid was drained. The urethral catheter drained 1100ml clear urine. But special attention should be paid to the patient’s temperature. He had a high fever of 39? at 8pm yesterday evening. After administrationof 1 pill indomethacin per rectum and alcohol sponge bath for 1 hour , the temperature was still high, 39.1? at 9:30pm. And then 1ml ant odine was injected intramuscularly, his temperature dropped down to38.3? 1 hour later .I took his temperature just now. It was 37.5? and he feels much better. The postoperative input was 2500ml, i.e. the volume of the intravenous infusion. And the output was 1760ml including urine 1150ml, drainage 10ml and sweat 600ml respectively. The patient could be able to cough and do deep breathing from time to time to expand his lung according to nursing advice. Morning nursing such as oral care, preventing bedsore care and perineum cleaning has being carried out and the patient can rest in bed on semireclining position now.Following patients also should be reported:Bed 25,Miss 倪水蓝,is a patient with pheochromocytoma on the left side, 3days after left adrenalectomy. Her condition is doing well and started to break wind. Therefore a liquid diet is suggested today.Bed 45,Mr.孙桥,is a patient with BPH, 2 days afterTURP(transurethral resection of the prostate). Continuous bladder irrigation through a 3-way catheter is still carrying out and draining well. The colour of the irrigated fluid looks slightly bloody. Thetemperature was 37.2? at 6am this morning. I told him to drink more water, take some vegetables and fruits to prevent constipation and he accepted.Two patients had a fever : Bed 7,38.1?; Bed 30,38?.The input and output in 24 hours for patients at Bed 34 and Bed 42 were normal, writtendown on the blackboard.That’s all for today’s morning report .Now the duty doctor, please.参考译文英语晨交班范例各位～早上好～现在开始晨交班。