What key information should a CNA include in their report after a shift?

A comprehensive report by a CNA after a shift is essential for ensuring continuity of care and effective communication among healthcare team members. Including incidents, the care provided, and changes in a patient's condition in the report is critical because it offers a complete picture of the patient’s status during the shift.

Documenting incidents allows for the tracking of any unusual events or changes in a patient’s behavior or health status, which is vital for ongoing assessment and care planning. The details of the care provided are necessary to ensure that all team members are informed about what treatments or interventions were administered, promoting synchronization in patient care efforts. Moreover, noting changes in condition is particularly important, as it helps other healthcare professionals quickly identify any deterioration or improvement in the patient's health, enabling timely interventions.

This level of detailed reporting supports the safety and well-being of the patient, as it assists in making informed decisions about their ongoing care. Reporting should be factual and relevant to patient care, excluding personal opinions or unrelated information, to maintain professionalism and confidentiality.