Run Nurse Bedside Shift Report Audit — Free

Patient Introduction

Nurse introduced self and role to patient critical (required)

Observe whether the outgoing or incoming nurse clearly introduces themselves and explains their role at the bedside.

Yes No N/A

Patient identity verified using two identifiers critical (required)

Verify that the patient is identified using two approved identifiers before report content is discussed.

Yes No N/A

Patient included in conversation and addressed respectfully

Assess whether the patient was engaged in the report, addressed by name, and treated respectfully throughout the interaction.

Report conducted at bedside or in patient presence critical (required)

Confirm that the shift report occurred at the bedside or in the patient's presence unless clinically inappropriate.

Yes No N/A

Safety Check

Bed locked and in lowest position critical (required)

Observe whether the bed is locked and positioned at the lowest safe height during the handoff.

Yes No N/A

Call light and personal items within patient reach critical (required)

Confirm that the call light, water, and commonly used personal items are accessible to the patient.

Yes No N/A

Fall risk precautions reviewed or verified critical (required)

Check whether fall precautions were reviewed, including assistive devices, alarms, or mobility assistance as applicable.

Yes No N/A

Lines, drains, and equipment checked for safety and function

Assess whether IV lines, drains, oxygen, monitors, and other equipment were visually checked and discussed for safety.

Environment free of immediate hazards critical (required)

Confirm that the immediate patient area was free of obvious hazards such as clutter, spills, or obstructed pathways.

Yes No N/A

Pain Assessment

Current pain level assessed with a numeric scale

Document the patient's reported pain score at the time of report.

Pain location and characteristics discussed

Check whether the report included pain location, quality, duration, or other relevant descriptors.

Yes No N/A

Pain interventions and response reviewed

Confirm that current or recent pain interventions and the patient's response were discussed.

Yes No N/A

Escalation plan for uncontrolled pain identified critical (required)

Verify that a plan exists for notifying the provider or taking next steps if pain is not controlled.

Yes No N/A

Plan of Care Review

Active diagnosis or reason for admission reviewed

Check whether the current reason for hospitalization or active clinical focus was reviewed with the patient.

Yes No N/A

Current goals and expected outcomes discussed

Confirm that the plan of care included current goals, expected progress, or discharge-related milestones.

Yes No N/A

Medication, treatment, or procedure updates reviewed

Assess whether key medication changes, treatments, tests, or procedures were discussed during report.

Yes No N/A

Pending tasks or follow-up items communicated

Verify that pending labs, consults, assessments, or other follow-up items were communicated clearly.

Yes No N/A

Patient questions addressed or deferred appropriately

Evaluate whether the patient had an opportunity to ask questions and whether concerns were addressed appropriately.

Family Inclusion and Communication

Family or support person included when present and appropriate

Confirm that family members or support persons were included in the bedside report when the patient consented and it was appropriate.

Yes No N/A

Privacy and consent respected during family involvement critical (required)

Verify that privacy, confidentiality, and patient preferences were respected when family or visitors were present.

Yes No N/A

Family questions or concerns acknowledged

Assess whether family or support person questions were acknowledged and addressed appropriately when included.

Get your results

Enter your email — we'll send you a PDF of your filled-out template, plus the occasional MangoScoop newsletter (templates, workflow tips, product updates). Unsubscribe anytime — link is in every email.

Email (required)

Your name (optional)

Run: Nurse Bedside Shift Report Audit

Patient Introduction

Safety Check

Pain Assessment

Plan of Care Review

Family Inclusion and Communication

Get your results