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Free ICU Report Sheet (Printable PDF)

❤️ ICU report sheet

Free ICU report sheet (printable PDF)

A brain sheet built for the heavy assignment — one full page per patient with room for drips, lines, vent settings, and the hourly tasks that keep a critical patient safe. Print it, fold it, and stay a step ahead.

Why ICU needs its own sheet

A med-surg brain sheet falls apart in the ICU. You’ve got one or two patients, but each one carries the documentation load of five — multiple drips titrating to a number, a vent with settings you’re checking against an order, lines in three places, and an assessment that changes by the hour. A report sheet meant for four patients on a page just doesn’t have the room.

This one gives each patient a full page, organized the way critical care actually flows.

What’s on the ICU report sheet

  • Top bar: name, age, room, code status, allergies, admitting diagnosis, and day of admission.
  • Systems, head to toe: neuro (including sedation and pain scores), cardiac, respiratory with a dedicated vent box, GI/GU, skin, and lines.
  • Drips section: space for each infusion, its concentration, current rate, and titration parameters — so you’re not flipping to the pump to remember where your levophed sits.
  • Lines & access: central line, arterial line, drains, tubes, and the day each went in.
  • Hourly grid: a column-per-hour strip for vitals, I&Os, and tasks across a 12-hour shift.
  • To-do / pending: labs drawn, results you’re waiting on, and the question you keep meaning to ask the intensivist.

Tips for taking ICU report

  • Start with the story, then the systems. Get the one-line “why they’re here and what’s the plan” before you dive into numbers, or the numbers won’t mean anything.
  • Write your drips first. They’re the thing most likely to need action in your first hour. Get them down before anything else.
  • Eyeball your lines during report. Confirm what’s in, where, and how old as the off-going nurse talks — that’s when central-line days and line questions are easiest to catch.
Two-patient version included. The download has both a one-patient and a two-patient layout, so you can grab whichever matches your assignment that night.

Looking for a different floor? Browse all the specialty report sheets, or check the step-up version on the way for PCU and tele.

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