| Course | PA 614 Clinical Clerkship - Emergency Medicine |
|---|---|
| Week | 8 |
| Paper type | Shift summary |
| Length | About 470 words, 5 pages |
| Format | APA 7 student paper |
| School | Chamberlain University |
| Program | Master of Physician Assistant Studies (MPAS) |
| Updated | October 2026 |
Free sample paper for PA 614 Week 8
End of Shift Summary for the Night of April 18: Four Patients Carried In, Eleven Opened, Twelve Closed, Three Handed to the Day Team by Name and One Result That Changed a Plan
Student Name
Chamberlain University
PA 614: Clinical Clerkship - Emergency Medicine
Instructor Name
Month Day, Year
End of Shift Summary for the Night of April 18: Four Patients Carried In, Eleven Opened, Twelve Closed, Three Handed to the Day Team by Name and One Result That Changed a Plan
The Claim, Up Front
Every patient I touched during the night ended the shift in one of three states: discharged, admitted or handed to a named day clinician. None was left without an owner.
Figures With a Stretch
Shift: 19:00 April 18 to 07:00 April 19. Carried in from the evening team: 4. Opened during the night: 11. Total touched: 15. Closed: 12 (8 discharged, 4 admitted). Handed to the day team: 3 (beds 4, 9 and 12). The laceration in hallway 2, opened at 05:30, was closed at 06:45 before handover.
The figures add up: 4 carried in plus 11 opened gives 15 touched; 12 closed plus 3 handed over gives 15 accounted for.
Nothing Disappears
Table 1
Patients at the End of the Shift
| Patient | Arrived | Status at 07:00 | Owner after 07:00 |
|---|---|---|---|
| Bed 4, chest pain | 00:30 | Awaiting second troponin | Day physician assistant |
| Bed 9, fall | 02:20 | Awaiting hip CT | Day physician |
| Bed 12, abdominal pain | 01:40 | Awaiting CT read | Day physician assistant |
| All others | Various | Discharged or admitted | Not applicable |
Note. Note. Discharged and admitted patients are listed in the department log and are not repeated here.
One Result That Moved Something
The second troponin for bed 4 was delayed by a clotted sample and redrawn at 05:20, which moved R.S.'s likely discharge from 05:00 to after 07:00 and onto the day team's list. Without the redraw, R.S. would have been discharged on a single troponin, which the department pathway does not allow.
A second result also changed a plan: T.K.'s CT read, which arrived at 07:20 after handover and showed appendicitis; the day PA, who already owned bed 12, paged surgery at 07:25. That this happened without a gap is what the named handover was for.
Handed to a Person
Each of the three open patients was handed to a named clinician with a read-back at 07:05, following the structured handoff elements the department uses (Starmer et al., 2014). The sign-out brief is attached.
What This Summary Does Not Repeat
It does not repeat the clinical details already in the sign-out brief and the charts. It exists to show that the night's work has a clear end state.
If a reviewer wanted to check the claim, the department log for the shift and the three charts handed over are the only documents needed.
References
Starmer, A. J., Spector, N. D., Srivastava, R., West, D. C., Rosenbluth, G., Allen, A. D., Noble, E. L., Tse, L. L., Dalal, A. K., Keohane, C. A., Lipsitz, S. R., Rothschild, J. M., Wien, M. F., Yoon, C. S., Zigmont, K. R., Wilson, K. M., O'Toole, J. K., Solan, L. G., Aylor, M., . . . Landrigan, C. P. (2014). Changes in medical errors after implementation of a handoff program. New England Journal of Medicine, 371(19), 1803-1812. https://doi.org/10.1056/NEJMsa1405556
The Chamberlain PA 614 Week 8 instructions
The final week asks for an end of shift summary that is an argument, not a second sign-out. Open by stating where things stood when the hours ran out: how many patients were carried in, opened, closed and handed over. Give the figures for the exact stretch of the shift. Show that nothing disappeared: every patient touched should be accounted for in one of a few end states. Name one result that changed a plan, since that shows the summary is about decisions. Record to whom each open patient was handed, by name or role, and how. The summary should not repeat the clinical detail already in the sign-out. Real numbers from your shift make the strongest summary. A reflection paragraph is optional unless your section asks for it.
Inside the PA 614 Week 8 example
The claim states that every patient ended discharged, admitted or handed to a named day clinician. Figures for 19:00 to 07:00 give 4 carried in, 11 opened, 15 touched, 12 closed with 8 discharged and 4 admitted, and 3 handed over, with the laceration closed at 06:45. A table lists beds 4, 9 and 12 with arrival time, status and owner. The result section explains that the clotted troponin sample and the 05:20 redraw moved a likely 05:00 discharge onto the day team, avoiding discharge on a single troponin. The handover section records named clinicians and a 07:05 read-back, citing Starmer et al. (2014). A short section explains what the summary leaves to the sign-out and charts.
Reading the PA 614 Week 8 grading rubric
The summary loses the most when it repeats the sign-out instead of making the claim that every patient has an end state. Next comes figures that do not add up, such as patients touched who appear in no category. Graders deduct when open patients are handed to "the day team" rather than to named clinicians. Faculty reward a claim at the top, figures for the exact shift and a table of open patients. Naming one result that changed a plan earns credit. Recording a read-back shows the handover was completed. Citation of the handoff framework, in APA form, completes the rubric.
PA 614 Week 8 help from the desk
End of shift summaries most often go wrong by narrating the night's busiest moments without accounting for every patient. Another common problem is numbers that do not reconcile. Some summaries also end with a reflection on fatigue that the assignment did not ask for. If your shift had a different flow, send the counts and the patients still open; the version we prepare would open on the claim, give figures that add up, list open patients with named owners, highlight one result that changed a plan and record the read-back. If your section asks for a reflection, a short paragraph would follow the figures.
Get a PA-614 Week 8 example written to your instructions
Send the posted instructions and the rubric, together with any figures the assignment supplies and the format your section wants the summary in, and a custom PA-614 Week 8 example is written to them and returned inside 24-48h. The first one is free, and revisions against your grader's comments are included.
More PA 614 papers and MPAS samples
- PA 614 Week 1: Emergency Note Reader Post
- PA 614 Week 2: Shift Sign-Out Brief
- PA 614 Week 3: Pending Results Note
- PA 614 Week 4: Medical Decision Making Paragraph
- PA 614 Week 5: Interrupted Encounter Write-Up
- PA 614 Week 6: Patient Callback Note
- PA 614 Week 7: Shift Documentation Audit
- PA 612 Week 8: Day of Discharge Checklist
- PA 610 Week 8: Continuity Case Report
- PA 608 Week 8: Deficit Classification
- PA 604 Week 8: CME and Recertification Plan
PA 614 Week 8 questions, answered
What separates this from the sign-out written earlier in the term?
The sign-out addresses one person about several patients; this addresses a reader about a period of time. One is an instruction set and the other is an account with a claim in it. Sections that set both usually mark the second on whether it says anything the first did not, so a sample shows where the two deliberately diverge.
Does the summary need real numbers from my shift?
Where your week asks for your own figures, those come from you and the example shows the shape they go into rather than supplying values. Where the assignment provides a set, or asks for a constructed one, the sample runs on those. Either way the marking sits on what the numbers are used to claim, which is the part that transfers.
Is a reflection paragraph required at the end?
Most sections want something like it and mark it hard, which surprises students who treat it as a formality. What scores is one concrete change with a place to apply it, rather than a resolution to be more thorough. The example carries one sentence of that kind, tied to something that actually went wrong in the account above it.
Where can I find a free PA 614 Week 8 sample paper?
This page holds a complete PA 614 Week 8 end of shift summary accounting for every patient touched during an emergency night.
Which result changed a plan in the PA 614 Week 8 sample?
A clotted troponin sample, redrawn at 05:20, which moved a likely early discharge onto the day team rather than discharging on a single value.