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Run: NICU Charge Nurse Bed Assignment Worksheet

Use this NICU Charge Nurse Bed Assignment Worksheet to map open beds, infant acuity, isolation needs, and staffing coverage for a single shift. It helps the ...

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Shift Details

Shift Date (required)

Shift Type (required)

Charge Nurse Name (required)

Unit or Location (required)

Bed Census

Total Beds Open (required)

Beds Occupied (required)

Beds Available

Any beds requiring isolation precautions? (required)

Patient Assignment Worksheet

Bed and Nurse Assignments (required)

Acuity Scale Used (required)

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 (required)

Cohorting Needed (required)

Special Equipment Needed

Staffing Coverage

Are all beds appropriately staffed? (required)

Coverage Gap Details

Describe only the staffing gap, affected bed(s), and any immediate mitigation steps.

Handoff Completed (required)

Yes No N/A

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