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Free printable · first-year nurses

A brain sheet built for your unit.

Pick your unit, your shift, and how many patients you have. Print it, take report onto it, and run your shift from the hour grid.

Head-to-toe systems, meds, and the discharge plan for a 4–6 patient assignment.

Nothing you choose here is saved or sent anywhere.

Brain sheet · General / med-surg · Day shift

Date ______ Charge ______ Ext ______

TimeRm ____Rm ____Rm ____Rm ____
0700
0800
0900
1000
1100
1200
1300
1400
1500
1600
1700
1800

Time it: Vital signs · Assessments · Scheduled meds · Glucose checks · Labs drawn · Turns / ambulation

Patient 1

Patient

Room

Age

Code status

Allergies

Isolation

Admitting diagnosis

History

Provider / consults

Neuro

Orientation

Baseline vs now

Cardiac

Vital-sign trend

Telemetry?

Edema

Respiratory

O₂ / device

Lung sounds

IS / cough

GI / GU

Diet

Last BM

Voiding / catheter

I&O

Skin / mobility

Wounds / dressings

Fall risk

Activity

Turns

Pain

Score + goal

Last PRN + time

Lines / drains

IV site + date

Fluids + rate

Drains / output

Labs / tests

Abnormal labs

Pending tests

Procedures today

Plan

Discharge plan

Teaching

To call about

Patient 2

Patient

Room

Age

Code status

Allergies

Isolation

Admitting diagnosis

History

Provider / consults

Neuro

Orientation

Baseline vs now

Cardiac

Vital-sign trend

Telemetry?

Edema

Respiratory

O₂ / device

Lung sounds

IS / cough

GI / GU

Diet

Last BM

Voiding / catheter

I&O

Skin / mobility

Wounds / dressings

Fall risk

Activity

Turns

Pain

Score + goal

Last PRN + time

Lines / drains

IV site + date

Fluids + rate

Drains / output

Labs / tests

Abnormal labs

Pending tests

Procedures today

Plan

Discharge plan

Teaching

To call about

Patient 3

Patient

Room

Age

Code status

Allergies

Isolation

Admitting diagnosis

History

Provider / consults

Neuro

Orientation

Baseline vs now

Cardiac

Vital-sign trend

Telemetry?

Edema

Respiratory

O₂ / device

Lung sounds

IS / cough

GI / GU

Diet

Last BM

Voiding / catheter

I&O

Skin / mobility

Wounds / dressings

Fall risk

Activity

Turns

Pain

Score + goal

Last PRN + time

Lines / drains

IV site + date

Fluids + rate

Drains / output

Labs / tests

Abnormal labs

Pending tests

Procedures today

Plan

Discharge plan

Teaching

To call about

Patient 4

Patient

Room

Age

Code status

Allergies

Isolation

Admitting diagnosis

History

Provider / consults

Neuro

Orientation

Baseline vs now

Cardiac

Vital-sign trend

Telemetry?

Edema

Respiratory

O₂ / device

Lung sounds

IS / cough

GI / GU

Diet

Last BM

Voiding / catheter

I&O

Skin / mobility

Wounds / dressings

Fall risk

Activity

Turns

Pain

Score + goal

Last PRN + time

Lines / drains

IV site + date

Fluids + rate

Drains / output

Labs / tests

Abnormal labs

Pending tests

Procedures today

Plan

Discharge plan

Teaching

To call about

Room number and initials only. Keep this sheet on you, hand off or shred it per your facility's policy, and never take it home. nursesavvy.com/tools/nursing-brain-sheet

Know these before your first shift