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Run: NICU Charge Nurse Bed Assignment Worksheet

NICU Charge Nurse Bed Assignment Worksheet helps you map bed census, nurse-to-patient coverage, acuity, and isolation needs for a single shift. Use it to ass...

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Shift Details

Shift Date (required)

Shift Start Time (required)

Shift End Time (required)

Unit Name (required)

Charge Nurse Name (required)

Shift Handoff Notes

Include staffing changes, anticipated admissions/discharges, and any operational concerns relevant to the shift.

Bed Census

Total Beds Open (required)

Occupied Beds (required)

Anticipated Admissions

Anticipated Discharges

Bed Constraints

Select any constraints affecting placement or cohorting decisions.

Patient Assignment Worksheet

Patient Assignments (required)

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? (required)

Isolation Details

Document only the minimum necessary infection-control information needed for placement and precautions.

Special Precautions

Staffing Coverage

Total Nurses Assigned (required)

Open Coverage Gaps

Coverage Risk Level (required)

Escalation Needed? (required)

Escalation Notes

Describe staffing shortages, unsafe ratios, or operational issues requiring manager review.

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