Nurse Report Sheet
Nurse Report Sheet Fillable PDF, Med Surg, ICU, ER, Sbar Handoff
$5.99
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- Instant digital download
- Buy through Etsy checkout
- No subscription
- Made by Utility Forge Studio
- Questions? Email utilityforgestudio@gmail.com
See it in use
About this download
Four nurse report sheet layouts in one download: Med-Surg and Tele, ICU, ER and a long-term care roster, plus SBAR handoff and an hourly shift timeline.
Type your unit set-up once in the fillable copy, then print clean black-and-white sheets for every shift.
WHAT'S INSIDE (23 pages, same in every edition)
- Contents (linked; every page has a button back to it)
- Unit set-up: unit name, phone numbers, your name, shift times and length. Typed once, it fills the header of every sheet.
- How to print and use: print at 100 percent, fold in four, which sheet for which assignment
- Sample: the Med-Surg 4-patient sheet filled in with fictional patients, so you can see it in use
- Med-Surg / Tele, 4 patients: one patient per quarter, folds in four for a scrub pocket
- Med-Surg / Tele, 4 patients without a vitals box: a larger notes area instead
- Med-Surg, 2 patients detailed: head-to-toe systems for each
8 and 9. Med-Surg, 1 patient comprehensive, day and night: plan of care and goals, diagnostics, blank labs fishbone, systems, shift timeline, to-do
- ICU, 1 patient by system: drips, lines, drains and airway, vent settings, hourly vitals grid
- ICU, 2 patients by system
- ER, 4 patients: arrival time, acuity, chief complaint, orders, dispo
13 and 14. LTC / assisted living roster, 16 residents: diet and texture, fall risk, assist level, alerts, shower day
- SBAR handoff, 4 per page
16 and 17. Hourly timeline, day 0700 to 1900 and night 1900 to 0700, four patients
- Med pass time grid, four patients
- Shift to-do, unit phone list and unit reminders
20 to 23. Optional color-band versions of the Med-Surg 4-patient, ICU 1-patient, ER and LTC sheets
BLACK-AND-WHITE OR COLOR
Pages 4 to 19 are black-and-white sheets, low ink, made for unit printers; each setting has a small tab that prints as a different gray. Pages 20 to 23 repeat four sheets with a full color band and tinted headers for color printers (they use more ink). The color pages are in all four PDFs, so the file names below stay the same.
YOUR FILES
- Nurse-Report-Sheets_Fillable_Letter.pdf (23 pages, US Letter 8.5 x 11 in)
- Nurse-Report-Sheets_Fillable_A4.pdf (23 pages, A4 210 x 297 mm)
- Nurse-Report-Sheets_Print_Letter.pdf (23 pages, US Letter, no type-in boxes)
- Nurse-Report-Sheets_Print_A4.pdf (23 pages, A4, no type-in boxes)
- Nurse-Report-Sheets-Start-Here.pdf (2 pages, quick start guide)
HOW THE FILLABLE COPY WORKS
Only the unit set-up, the timeline hours and the med pass times are type-in boxes. Everything about a patient is handwritten on the printed sheet, by design. Timeline hours are pre-filled and editable, so a 0600 or 1100 shift works. Shift length is a dropdown (8h, 10h, 12h) that also accepts your own short entry.
PRINTING
Black on white with strong rules. Print at 100 percent (Actual size). The fillable copy opens best in the free Adobe Acrobat Reader, Chrome, or Edge.
PLEASE NOTE
Organizational tool only, not a medical record or clinical advice. Do not type or store patient information in these files; follow your facility's policies for report sheets. The sample page uses invented patients only. No lab values, ranges or drug information are included.
Digital download, nothing shipped. No Canva template is included.
Designed by me, created using AI tools.
The Etsy listing is the final source for what is included. See it on Etsy.
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