First, fill in the items listed in the eyebrow column and documents:

Year, month and day, number of original patients, number of patients admitted to hospital, discharged from hospital, transferred in and transferred out, number of critically ill, operated, delivered and died patients, and number of existing patients.

Second, according to the following order, according to the bed number to write the report:

(1) Write down the number of patients who left the ward (discharge, transfer, death), and indicate the time of leaving, which department to transfer to, or the time when breathing and heartbeat stopped.

(2) the number of patients entering the ward (new admission and transfer), indicating which department or hospital was transferred.

(3) The shift in the ward focuses on nursing patients, namely, patients with operation, delivery, critical illness and abnormality.

Nursing documents include:

1. According to the requirements of the two notices, nurses need to fill in and write nursing documents, including: temperature list, doctor's order list, operation inventory record and nursing record of critically ill patients. Nursing files can be in tabular format.

2, nursing documents are an integral part of medical records, writing content should be organically combined with other medical records, unified with each other, to avoid duplication and contradiction. Writing nursing documents should be objective, true, accurate, timely and standardized.