ICU Charge Nurse Hourly Rounds Log

Hourly rounding log for ICU charge nurses to capture patient status, family needs, equipment issues, and escalation actions across assigned beds.

Shift and Rounds Details

• Date
• Shift
• Round Time
• Charge Nurse Name
• Unit or Pod
  Optional unit, pod, or pod assignment identifier.

Patient Assignment Rounds

• Assignment Log

Status and Safety Checks

• Patient Status
• Family Needs
• Equipment Status
• Was a safety concern identified?
• Safety Concern Details
  Describe the concern and any immediate mitigation taken.

Escalation and Follow-up

• Was the issue escalated?
• Escalated To
• Follow-up Owner
  Name or role responsible for next action.
• Follow-up Notes

Submission Notes

• Additional Notes
  Use only for operational details needed for handoff or audit trail. Avoid unnecessary PII.