4 Patient Nurse Report Sheet – Med Surg Brain Sheet PDF

Name: 4-Patient Nurse Report Sheet
Brand: Sorted Templates
SKU: ST-0083
Price: 2.50 USD
Availability: InStock

Overview

Fit your whole four-patient assignment on one page. Each patient gets a box with room, name, age, diagnosis, code status, allergies, diet, activity and isolation, plus space for assessment notes, IV and meds, and labs.

A small timeline under each patient shows what's due when. Day and night versions are included, and the clean layout prints clearly in black and white.

Whole assignment
Four patients on one clipboard page.
Key details first
Code status, allergies, diet and activity at a glance.
Timeline per patient
See what's due each hour for every patient.
Day and night
07–19 and 19–07 versions included.

What's inside

Day sheet
4 patients, timeline 07:00–19:00
Night sheet
4 patients, timeline 19:00–07:00
Per patient
Details, neuro/cardiac, resp/GI/GU, IV and meds, labs and notes

How it works

1
Buy on Etsy, then download the PDF for your paper size (US Letter or A4) from your Etsy Purchases page.
2
Print a stack at 100% / actual size, in color or black and white.
3
Fill in one sheet per shift and shred it at the end, following your hospital's privacy policy.

Good to know

Digital download: nothing is shipped
Personal use license: please don't share or resell the files
Blank forms: follow your hospital's policies for handoff and for protecting patient information

Questions

Who is this sheet for?

Med-surg, tele and step-down nurses with a four-patient assignment, plus nursing students and new grads.

Is there a night shift version?

Yes, a night sheet with a 19:00–07:00 timeline is included.

Can I get sheets for more or fewer patients?

The Nurse Report Sheet Bundle has 1, 2, 4 and 5-patient sheets plus an ICU sheet.

How it's made: designed by Sorted Templates. We use AI tools to help draft text and lay out pages, and every page is reviewed and edited by us before it's listed. Lifestyle and mockup images may be AI-generated or AI-edited; the page previews show the actual files.