CNA PCA Handoff Report Sheet | Start-of-Shift Long-Term Care Brain Sheet | Resident Care Printable
CNA PCA Handoff Report Sheet | Start-of-Shift Long-Term Care Brain Sheet | Resident Care Printable
PDF + Editable Word Version Included
Start your shift with the information you need and end it knowing exactly what still needs to be communicated.
This detailed CNA/PCA Start-of-Shift and Handoff Report Sheet was designed to help nursing assistants and patient-care staff organize important resident information, daily care needs, safety concerns, shift priorities, and follow-up information in one structured resource.
Instead of trying to remember scattered details throughout the shift, this report sheet walks you through the resident's care needs section by section.
RESIDENT OVERVIEW
Quickly organize information including:
• Resident name and room
• Age
• Code status
• Fall-risk status
• Bed or chair alarms
• Isolation precautions
• Oxygen use and flow rate
• Diet
• Thickened liquids
• Assistance level
• Transfer and ambulation needs
TOILETING / BOWEL & BLADDER
Track:
• Continence
• Brief use
• Toileting schedule
• Bowel movement status
• Last bowel movement
• Urination concerns
• Last check/change
• Need for frequent rounding
POSITIONING / MOBILITY
Keep track of:
• Time resident got up
• Time last laid down
• Last turn/reposition
• Chair status
• Ambulation needs
• Weak-side or mobility concerns
• Preferred positioning or turning notes
SKIN / PERSONAL CARE
Record important care information including:
• Red areas
• Skin tears
• Bruising
• Barrier cream
• Bath/shower
• Oral care
• Perineal care
• Linen changes
• Additional skin or personal-care notes
MEALS / FLUIDS
Document your shift notes for:
• Breakfast intake
• Lunch intake
• Dinner intake
• Meal setup
• Feeding assistance
• Fluid intake
• Snacks
• Swallowing concerns
BEHAVIOR / COGNITION
Organize observations related to:
• Orientation
• Confusion
• Restlessness
• Agitation
• Wandering
• Calling out
• Behavior notes
• Best approaches for resident care
SAFETY & SHIFT PRIORITIES
Use quick-reference checks for:
• Call light availability
• Bed position
• Non-skid socks
• Wheelchair safety
• Resident's biggest current need
REPORT & FOLLOW-UP
Finish the shift knowing exactly what needs communicated.
Includes space for:
• Need to report to nurse
• Last resident check
• Last care completed
• Items requiring follow-up during the shift
GREAT FOR
• CNAs
• PCAs
• PCTs
• Long-Term Care Staff
• Skilled Nursing Facilities
• Nursing Homes
• Assisted-Living Staff
• Nursing Students during clinical rotations
• New nursing assistants learning how to organize resident-care information
WHAT YOU RECEIVE
• Comprehensive CNA/PCA Start-of-Shift & Handoff Report Sheet
• Printable PDF version
• Editable Microsoft Word version
• Instant digital download
The editable version makes it easy to customize the worksheet for your personal workflow or facility-approved use.
IMPORTANT INFORMATION
This worksheet is an organizational and communication aid only.
It does not replace the resident's official medical record, nursing documentation, care plan, MAR/TAR, provider orders, approved handoff procedures, assessment, or facility policies.
Always verify current resident information using your organization's approved sources and immediately communicate changes or concerns according to facility policy.
If resident-identifying information is placed on the worksheet, the purchaser is responsible for maintaining confidentiality and following workplace requirements for handling, storage, and disposal.
For individual purchaser use only. Redistribution, resale, sharing, or claiming this product as your own is prohibited.
Digital download only. No physical item will be shipped.