Vitals
| Time | ||||
|---|---|---|---|---|
| BP | ||||
| HR | ||||
| RR | ||||
| Temp | ||||
| SpO₂ | ||||
| Pain | ||||
| Glucose |
Meds
| Time | Med due |
|---|---|
Labs · tests
To do
Intake · output
Changes this shift
Notes · tell the next shift
Vitals
| Time | ||||
|---|---|---|---|---|
| BP | ||||
| HR | ||||
| RR | ||||
| Temp | ||||
| SpO₂ | ||||
| Pain | ||||
| Glucose |
Meds
| Time | Med due |
|---|---|
Labs · tests
To do
Intake · output
Changes this shift
Notes · tell the next shift
Who this sheet is for
Two patients, half a page each. It is for a lighter assignment, or for anyone who finds four-patient sheets too cramped to write on.
Use one half per patient and keep the same order on both. The top lines are for report: room, allergies, diagnosis, diet, activity, lines and drains, and the code and safety boxes. The middle row is where the shift happens: vitals up to four times with glucose, meds by the time they are due, and labs or tests you are waiting on.
Tick the to-do boxes as you go. Before you hand off, fill in intake and output and what changed, then use the notes lines for what the next nurse needs to hear first. The sheet folds in half, one patient per side.
Blocks worth knowing
- Labs · tests
- what was drawn, what is pending, what you need to follow up
- Changes this shift
- new findings, new orders, anything that moved
- Notes · tell the next shift
- the first thing you would say at the bedside
Every sheet here prints on one US Letter page and comes as a free PDF with no sign-up. It is blank working paper, not a medical record: shred it at the end of the shift. Compare all the sheets or build your own layout.