Daily Log Sheet (Page 3 of 4) in pdf

Daily Log Sheet Page 3

Patient/Family Centered Care

Patient cognitive/developmental age:

List 2 developmental interventions that you did for your patient:

Who was present at the child’s bedside? (Name and relation to the child)

List one intervention that you did for the family:

What cultural issues did you identify as having a possible impact on this family?

List any economic/political factors that might have an impact on your child’s care or ability to develop

appropriately:

Asked the parent(s) if they needed information on anything related to their child’s care? _______

(This should be asked daily if parents are present.)

List learning needs identified for your patient/family:

How were teaching needs met?

(Reminder – any patient/parent teaching must be verified with the clinical instructor prior to

teaching.)

List community resources that might be beneficial to your patient/family:

Were you able to get a referral or share this information with the family or healthcare team?

Interdisciplinary Team

Participated (by either listening or verbally contributing) in your patient’s clinical rounds?

Rounding times on my unit:

(Students are expected to participate in rounds.)

Briefly describe information discussed in pt rounds:

List other healthcare team members with whom you interacted and give brief description of

interaction:

Daily Log Sheet Page 3