NICU Charge Nurse Bed Assignment Worksheet

A worksheet for NICU charge nurses to assign beds and nursing staff based on patient acuity, isolation needs, and staffing coverage.

Shift and Unit Details

• Assignment Date
• Shift
• Unit or Pod
• Charge Nurse Name
• Staffing Notes
  Use only operationally necessary notes. Avoid unnecessary PII.

Census and Staffing Summary

• Current Census
• Number of Assigned RNs
• Number of Assigned LPNs/LVNs
• Float or Resource Support Available?

Bed and Patient Assignment

• Bed Assignments

Acuity and Isolation Details

• Default Acuity Level
• Isolation Needs
• Special Care Requirements
• Assignment Rationale
  Briefly explain any non-standard assignment decisions or staffing exceptions.

Review and Handoff

• Handoff Completed?
• Follow-Up Actions
  List any staffing gaps, bed changes, or reassignment needs for the next shift.
• Reviewed By