Free NICU report sheet (printable PDF)
A brain sheet sized for your tiniest patients — weights in grams, feeds, gestational age, and the fine details that make all the difference in the NICU. Print it and keep every gram and every cc straight.
Why the NICU needs a different sheet
NICU nursing runs on small numbers and tight margins. A few grams of weight change matters. Feeds are measured in cc’s and timed to the clock. Doses are calculated per kilogram of a baby who might weigh less than your lunch. A standard adult brain sheet has no place to put any of it.
This sheet is built around the things that define a NICU shift — growth, nutrition, respiratory support, and the developmental details families care about most.
What’s on the NICU report sheet
- Baby basics: name, gestational age, day of life, birth and current weight, and feeding plan.
- Respiratory: support type and settings, from room air to CPAP to vent, with a spot for sat targets.
- Feeds & fluids: route, volume, frequency, and totals — plus I&O the way the NICU tracks it.
- Lines & access: UAC/UVC, PICC, and peripheral access with placement dates.
- Cares & timing: a clustered-care grid so you can protect rest and time hands-on cares together.
- Family & notes: who’s visited, what they’ve been taught, and what’s pending.
Work somewhere else too? Browse all the specialty report sheets.
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