NURSING SHIFT ENDORESMENT

Date: ________________ Shift: Morning

ON CALL ANESTHETIST:
Consultant: ___________________________

Specialist : 1.) ________________________ 2.)_________________________

Endorsement:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Incident/Complain/Information:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Number of Surgery Done: __________Cases Waiting: _________OR Room going on: ______________________________
Number of Patient Shifted to ICU: ____________ Cancelled Case: ___________ Number of Staff: ___________________
Post-op in R.R: ______________ Pre-op in R.R: _________________
Shift In-charge Name/Time: _____________________________
Endorsement Received by/Time: __________________________
==========================================================================================
Date: ________________ Shift: Afternoon

ON CALL ANESTHETIST:
Consultant: ___________________________
Specialist : 1.) _________________________2.)_________________________

Endorsement:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Incident/Complain/Information:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Number of Surgery Done: __________Cases Waiting: _________OR Room going on: ______________________________
Number of Patient Shifted to ICU: ____________ Cancelled Case: _____________ Number of Staff: _________________
Post-op in R.R: ______________ Pre-op in R.R: _________________
Shift In-charge Name/Time: _____________________________
_________________________ :Endorsement Received by/Time
 NURSING SHIFT ENDORESMENT
Date: ________________ Shift: Night

ON CALL ANESTHETIST:
Consultant: ___________________________

Specialist : 1.) _________________________2.)_________________________

Endorsement:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Incident/Complain/Information:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Number of Surgery Done: __________Cases Waiting: _________OR Room going on: ______________________________
Number of Patient Shifted to ICU: ____________ Cancelled Case: _______________ Number of Staff: ___________
Post-op in R.R: ______________ Pre-op in R.R: _________________

Shift In-charge Name/Time: _____________________________

__________________________ :Endorsement Received by/Time

=================================================================================

(HOURS STATISTIC: (to be filled by Night Shift In-charge 24

________________ :Number of Surgery Done

Number of Cancelled Case: _______________

 RECOVERY ROOM SHIFT ENDORSEMENT
Date: _____________________ Shift: Morning

Endorsement:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Incident/Complain/Information:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Number of Post-op Patient: ____________________ Number of Pre-op Patient: __________________________
Crash Cart and Defibrillator Check by/Time: ______________________________
Stethoscope: _________Manual B/P: __________ Patient Trolley w/o Mattress:____________with Mattress:___________

Shift In-charge Name/Time: _____________________________

______________________________ :Endorsement Received by/Time

=======================================================================================

RECOVERY ROOM SHIFT ENDORSEMENT

Date: _____________________ Shift: Afternoon

Endorsement:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Incident/Complain/Information:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Number of Post-op Patient: ____________________ Number of Pre-op Patient: __________________________
Crash Cart and Defibrillator Check by/Time: ______________________________
Stethoscope: _________Manual B/P: __________ Patient Trolley w/o Mattress: ____________with Mattress: __________

Shift In-charge Name/Time: _____________________________

______________________________ :Endorsement Received by/Time
 RECOVERY ROOM SHIFT ENDORSEMENT

Date: _____________________ Shift: Night

Endorsement:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Incident/Complain/Information:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Number of Post-op Patient: ____________________ Number of Pre-op Patient: __________________________
Crash Cart and Defibrillator Check by/Time: ______________________________
Stethoscope: _________Manual B/P: __________ Patient Trolley w/o Mattress: ____________with Mattress: __________

Shift In-charge Name/Time: _____________________________

______________________________ :Endorsement Received by/Time
Date: 18-08-1429

RAMADAN O.R STAFFING PLAN 1429

• Staff Nurses ------ 40

• OR Technician ------ 16
---------
56 total

On Annual Vacation ------------ 4

Maternity Leave ----------------- 1

56-5 = 51

Distribution of the Staff:

Administrative Work = 04 Staff

Morning Shift: (21 Staff) 2 Room Orthopedic, 1 DR/OR, 2 General (1 Trauma Room).

• 6 OR Room's including DR/OR = 16 Staff

• Recovery Room = 03 Staff
• Reliever = 02 Staff

Afternoon Shift: (7 Staff) 1 Orthopedic, 1 General

• In Charge = 01 Staff
• 2 OR Room's including DR/OR = 04 Staff
• Recovery = 01 Staff
• Reliever = 01 Staff

Night Shift: (12 Staff) 2 Orthopedic, 1 DR/OR, 2 General

• In Charge = 01 Staff
• 4 OR Room's including DR/OR = 09 Staff
• Recovery Room = 01 Staff
• Reliever = 01 Staff

Early Morning Shift: (7 Staff) 1 Orthopedic, 1 General

• In Charge = 01 Staff
• 2 OR Room's including DR/OR = 04 Staff
• Recovery Room = 01 Staff
• Reliever = 01 Staff
-----------------------
Total of 51 Staff