Inpatient Bedside Reiki Note (Integrative Therapy)

Session Details

Date: [date]
Time: [session start time]
Duration: [total minutes]
Location: [unit/room/bed]
Practitioner: [name, credentials, department/service line]

(Use objective, observational language throughout. Avoid causal claims about Reiki efficacy; use temporal phrasing such as "after session, patient reported..." rather than "because of Reiki...". When a measure cannot be obtained, state the reason rather than leaving blank. Always document outcomes for safety screen, consent, adverse events, and team communication.)

Referral & Team Awareness

Session initiated by: [provider order / nursing request / patient request / family request / integrative rounds]
Order/consult: [ordering clinician and service, if applicable]
Team awareness: [who was informed or granted permission, how confirmed, and when] (Document per local policy. If permission was required but not obtained, document attempts and note session deferred.)

Safety & Consent

Safety screen: [contraindications, clinical instability, or reasons session could not proceed] (If none, state "No contraindications identified.")
Lines/precautions: [relevant lines, tubes, isolation status, and areas requiring hands-off approach] (If none significant, briefly state.)
Consent: [verbal consent obtained / patient assent / surrogate consent with relationship / declined], touch preference: [hands-on / hands-off/hover / mixed], areas to avoid: [specify or none] (Always document consent outcome.)

Patient Goals & Pre-Session Assessment

Patient goal(s): [patient-stated goals in patient's own words] (Only include goals explicitly communicated by patient.)

Pre-session symptoms: [numeric scores 0–10 for relevant symptoms] (If patient unable to rate, state reason and include brief observational description.)

Intervention Summary

Technique: [hands-on / hands-off/hover], [general body regions addressed], [patient position]

Modifications: [adjustments for safety, comfort, lines, or patient preference] (Note if session was interrupted or shortened, and why. Omit if none.)

Tolerance: [how patient tolerated session] (Describe neutrally—e.g., remained comfortable, fell asleep, emotional response observed.)

Post-Session Response & Communication

Post-session symptoms: [repeat same measures as pre-session] (If not obtainable, state reason.)

Patient response: [brief patient-reported experience and neutral observations] (Use a concise direct quote when meaningful. Avoid causal attribution.)

Adverse events: [none / describe if present] (Always document. Note dizziness, increased symptoms, emotional distress, discomfort, or request to stop.)

Team communication: [who notified, method, key information shared including pre/post scores and any concerns] (At minimum, document RN awareness. Always document outcome.)

Session status: [completed as planned / completed with modifications / deferred / not performed] (If deferred or not performed, include reason.)