Skip to content
Apex Nursing

Printable — Clinical Form

Nurse Brain Sheet

A one-patient shift organizer: patient banner, body-systems boxes, vitals and labs, scheduled med times, an hourly timeline, and a priority checklist. Print one sheet per patient at the start of shift.

Letter · portrait · prints without site navigation
Version
DetailedSimple
Fill it in on this device — autosaves, no account needed
Nurse Brain Sheet
Date ____________Shift ____________RN ____________
Room
Name / Age / Sex
Code Status
Allergies
Isolation
Admitting Dx
PMH / Relevant History
Provider / Team
Neuro / Mental Status
Cardiac / Tele
Respiratory / O₂
GI / GU / Diet
Skin / Wounds / Mobility
Lines · Drains · Airway
TimeTHRRRBPSpO₂Pain
Labs
Na ____K ____Cl ____CO₂ ____BUN ____Cr ____Gluc ____WBC ____Hgb ____Hct ____Plt ____
TimeScheduled Meds — Drug · Dose · Route
Shift Timeline — tasks by hour
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
__:__
Priorities / To-Do Before Handoff
Notes / Report Reminders (SBAR)

Apex Nursing · apex-nursing.com — educational template; verify against facility policy. Not part of the medical record.

Educational use only. Brain sheets are personal organization aids — document care in your facility’s approved system, and dispose of patient-identifiable sheets per policy. This material supports nursing education and exam review. It is not medical advice and is not a substitute for clinical judgment, institutional policy, or medical direction. Always follow facility protocols and current provider orders.