Med-Surg Report Sheet — 6 Patient | Nurse Brain Sheet Printable PDF

Med-Surg Report Sheet — 6 Patient

A shift-ready brain sheet for a 6-patient med-surg/telemetry assignment — built the way med-surg nurses actually run report, designed by a practicing Registered Nurse, not a generic template.

Everything a med-surg nurse needs in their pocket: a shift/date/nurse/unit/charge header, then six compact patient blocks (P1–P6) — each with code status (Full/DNR/DNI/Comfort), name, room, age/sex, MRN and ISO, a diagnosis one-liner, and allergies. Every block carries a safety row (fall, aspiration, seizure, bleed) with a watch field; a system-by-system line across neuro, CV/tele, resp/O2, GI/GU and skin; an IV/LDA (lines and devices), BG/insulin, pain, I&O and diet/activity line; a meds due/follow-up row (due/hold/reassess); a today/pending row (procedure, NPO, test, transfer, discharge); and a tasks/pending area with a handoff-priority line — plus a global tasks/calls footer. Page two adds an SBAR handoff structure, an eight-point report-off check, and a report-notes/brain-dump block for each of the six patients.

What you get:
✓ Instant digital download — print-ready PDF
✓ 2 pages, US Letter (8.5×11")
✓ Six-patient condensed med-surg/telemetry grid with a full SBAR handoff + notes page
✓ Compact per-patient fields — systems line, IV/LDA, meds-due, pending, tasks and handoff priority
✓ Print unlimited copies for your own shifts

Structural and blank by design — you fill in the clinical values from your own facility's protocols, so it fits your unit, not someone else's guess.

Made by a practicing Registered Nurse. Instant download — no physical item ships.

License: By purchasing, you agree this file is for personal use only. Print unlimited copies for your own shifts. You may not resell, redistribute, or share the digital file. © Ecara Living.

Educational/organizational aid for personal professional use. Does not replace clinical judgment, physician orders, or facility protocols. Not medical advice. © Ecara Living. ← italicize in Shopify