Printable — Clinical Form

ICU Brain Sheet

The standard brain sheet, rebuilt for critical care — drip concentrations and titration targets, ventilator settings, MAP and hemodynamic goals, device tracking, and the safety bundle checks that structure an ICU shift.

Letter · portrait · one patient per sheet

Version

DetailedSimple

Fill it in on this device — autosaves, no account needed

ICU Brain Sheet

Date ____________Shift ____________RN ____________

Room

Name / Age

Code Status

Allergies

ICU Day

Diagnosis / Problem List

MAP Goal

UOP Goal

Drip / Infusion	Concentration	Rate	Titration Target

Vent Mode

FiO₂

PEEP

TV / PS

Last ABG (time / values)

Devices — A-line · CVC · CRRT · ECMO · IABP · EVD (site / day)

CVP / Other

Neuro · Sedation (RASS / CPOT / pupils)

Cardiovascular · Rhythm · Pressors

Respiratory · Airway (ETT/trach, cuff, secretions)

GI · Nutrition (tube feeds, residuals, bowel)

GU · Renal (UOP goal, CRRT, foley day)

Skin · Lines (CLABSI/CAUTI checks, turns)

Hourly — tasks · I&O · titration changes

__:__

Labs — pending · critical · trends

Safety Bundle

HOB ≥ 30°SAT / SBT screenOral care q4hTurn q2hDVT prophylaxisRestraint order currentAlarms set & audibleEmergency equipment at bedside

Apex Nursing · apex-nursing.com — educational template; verify against facility policy. Not part of the medical record.

Educational use only. Drip rates, titration targets, and ventilator settings come from current provider orders — this sheet organizes them, it does not define them. This material supports nursing education and exam review. It is not medical advice and is not a substitute for clinical judgment, institutional policy, or medical direction. Always follow facility protocols and current provider orders.

Pairs well with

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Nurse Brain SheetThe med-surg version of this sheet

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