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Communication Boards
Communication Boards
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Created by Qualaris Staff
Patient Experience
Table of Contents
Audit Form
Audit Form
Communication Boards
Description
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Required
Observed Date
Unit
ED
ICU
Med-Surg
PACU
Rehab
Shift
AM
PM
Night
Communication Boards Checklist
Mark all as...
Erasable pen attached to board
Yes
No
N/A
Day and date
Yes
No
N/A
Patient name or initials
Yes
No
N/A
Goal for the day
Yes
No
N/A
Plan of the day
Yes
No
N/A
Nurses identified
Yes
No
N/A
Physicians identified
Yes
No
N/A
Pain - Goal
Yes
No
N/A
Pain - Med name
Yes
No
N/A
Pain - Last dose given
Yes
No
N/A
Pain - Next dose due
Yes
No
N/A
Mobility concerns addressed
Yes
No
N/A
Safety alerts addressed
Yes
No
N/A
Diet plan addressed
Yes
No
N/A
Housekeeping notes
Yes
No
N/A
Patient's notes/questions
Yes
No
N/A
Family's notes/questions/contact info
Yes
No
N/A
Hourly rounding
Yes
No
N/A
Anticipated discharge date
Yes
No
N/A
