NICU Charge Nurse Bed Assignment Worksheet

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

Shift Details

• Shift Date
• Shift Start Time
• Shift End Time
• Unit Name
• Charge Nurse Name
• Shift Handoff Notes
  Include staffing changes, anticipated admissions/discharges, and any operational concerns relevant to the shift.

Bed Census

• Total Beds Open
• Occupied Beds
• Anticipated Admissions
• Anticipated Discharges
• Bed Constraints
  Select any constraints affecting placement or cohorting decisions.

Patient Assignment Worksheet

• Patient Assignments
• Acuity Guidance
  Use the unit's acuity scale consistently. Escalate any assignment that exceeds safe nurse-to-patient coverage or requires one-to-one attention.

Isolation and Special Precautions

• Any infant requires isolation precautions?
• Isolation Details
  Document only the minimum necessary infection-control information needed for placement and precautions.
• Special Precautions

Staffing Coverage

• Total Nurses Assigned
• Open Coverage Gaps
• Coverage Risk Level
• Escalation Needed?
• Escalation Notes
  Describe staffing shortages, unsafe ratios, or operational issues requiring manager review.