NICU Charge Nurse Bed Assignment Worksheet

Worksheet for organizing NICU bed assignments, nurse-to-patient coverage, acuity level, and isolation precautions for a shift.

Shift Details

• Shift Date
• Shift Type
• Charge Nurse Name
• Unit Name
• Shift Notes
  Use for operational notes only. Avoid unnecessary PII; include only details needed for staffing coordination.

Bed Census

• Total Beds Open
• Occupied Beds
• Anticipated Admissions
• Anticipated Discharges

Patient Assignment Worksheet

• Patient Assignments
  Enter only the minimum necessary patient identifier used by your unit. Do not include full names if a unit identifier is sufficient.

Isolation and Special Precautions

• Any patient requires isolation precautions?
• Isolation Types
• Special Precautions

Staffing Coverage

• Is there a staffing gap?
• Gap Details
• Escalation Notified
  Check if the staffing concern has been escalated to the appropriate leader or supervisor.
• Handoff Notes
  Include only operational handoff details needed by the incoming charge nurse.