NICU Charge Nurse Bed Assignment Worksheet

Worksheet for organizing NICU bed and nurse assignments by infant acuity level, isolation needs, and staffing coverage.

Shift Details

• Shift Date
• Shift Type
• Charge Nurse Name
• Unit or Location

Bed Census

• Total Beds Open
• Beds Occupied
• Beds Available
• Any beds requiring isolation precautions?

Patient Assignment Worksheet

• Bed and Nurse Assignments
• Acuity Scale Used
• Assignment Notes
  Include only operational notes needed for staffing, such as one-to-one coverage, cohorting, or room constraints. Do not include unnecessary clinical detail.

Isolation and Special Precautions

• Precaution Types
• Cohorting Needed
• Special Equipment Needed

Staffing Coverage

• Are all beds appropriately staffed?
• Coverage Gap Details
  Describe only the staffing gap, affected bed(s), and any immediate mitigation steps.
• Handoff Completed