Emergency · 4 patients in a pod
ER nurse brain sheet — built for the unit you actually work in.
A chest pain, a possible sepsis, a chronic abd pain frequent flier, and an ESI-2 just rolled into bed 14. Your sheet should hold four patients at once, time-stamp every event, and surface what's pending — not be a folded med-surg printout with the discharge box crossed out.
Pod 3 · Beds 10-13
BP 156/92 · HR 88 · SpO2 97% · NTG SL 1 given 1928
✓ Lactate · ✓ Cultures · ✓ Cipro 400 · 30 mL/kg LR running
CT head/c-spine ordered · X-ray L wrist · MD: Dr. Chen
What's on it
Every box you actually use in the department.
Two layouts: a 4-patient pod sheet for your typical assignment, and a trauma bay sheet for activations and resus.
4-Patient Pod Sheet
- Quadrant per patient — room, ESI 1-5, arrival time, age/sex, MRN, allergies
- Big CC box — room for OPQRST + SAMPLE
- PMH / pertinent meds — anticoag? beta blocker? recent surgery?
- Vitals strip — arrival, recheck, and pre-dispo
- Orders & labs — EKG/CT/X-ray/lab status with checkmarks
- Dispo plan — admit, observation, discharge, transfer, AMA
Trauma Bay Sheet
- Activation level + mechanism — level 1 vs. 2, MVC, GSW, fall
- EMS handoff — vitals en route, interventions, IO/IV access
- AMPLE — Allergies, Meds, PMH, Last meal, Events
- ABCDE primary survey — airway, breathing, circ, disability, exposure
- GCS scoring — eye/verbal/motor with subtotals
- 12-row time-stamped events — every intervention with time and initials
- Blood products / MTP — units given, ratios, TXA dose/time
- Imaging completed — FAST, CT pan-scan, X-ray, angio
- Disposition — OR, ICU, IR, transfer, morgue
Who it's for
Pod nurse, trauma bay, charge, triage.
"I don't yet think in dispositions."
The quadrant layout forces you to keep one eye on each patient. The dispo line at the bottom of every quadrant trains the habit: every patient is either going home, going up, or going somewhere else.
"I need to see the board on paper."
Four patients per pod, big ESI banner, dispo right there. If you also charge, pair it with the Charge Nurse Board for the bigger picture.
"I scribe in a code."
The Trauma Bay sheet is your scribe sheet. Twelve time-stamped event rows, MTP tracker, imaging checklist, ABCDE. Built for activations.
Clinical content
The protocols the sheet is built around.
ESI (Emergency Severity Index)
5-level triage scale used in most US emergency departments:
- ESI 1 — Immediate life-saving intervention (intubation, code, mass transfusion)
- ESI 2 — High risk, time-critical (chest pain w/ STEMI signs, stroke, severe sepsis)
- ESI 3 — Multiple resources needed (CT + labs + IV abx for typical workup)
- ESI 4 — One resource (laceration repair, simple X-ray)
- ESI 5 — No resources beyond exam (med refill, suture removal)
The pod sheet has an ESI banner at the top of each quadrant so a quick glance tells you who's the sickest.
Hour-1 sepsis bundle (SSC)
The Surviving Sepsis Campaign hour-1 bundle is built into the sheet's checklist for any patient with possible sepsis:
- Measure lactate (remeasure if > 2)
- Obtain blood cultures before antibiotics
- Administer broad-spectrum antibiotics
- 30 mL/kg crystalloid for hypotension or lactate ≥ 4
- Vasopressors to maintain MAP ≥ 65 if fluid-refractory
Check off each item with the time done — that's the documentation Quality is going to ask for.
Get yours
Pod sheet, trauma bay, or build your own.
ER 4-Patient Pod premade
Four patients in a 2x2 grid. ESI banner, CC, vitals, labs/orders, dispo. Trauma Bay version also $3.99.
Build your custom ER sheet
Add psych triage, peds vitals by age, stroke last-known-well clock, or a 6-patient grid for a fast-track pod.
Secure Stripe checkout · Instant email delivery · 7-day fix-or-refund
FAQ
Questions from the department.
Does it work if I take 5 or 6 patients?
The premade is a 4-up. If your pod is bigger, use the custom builder to switch to a 6-up grid. Each quadrant gets slightly smaller but the ESI banner, CC, vitals, and dispo all stay.
Is there a sepsis bundle checklist on it?
Yes. Each quadrant has a small orders/labs row with check spots for lactate, cultures, antibiotics, fluids, and pressors — the hour-1 bundle. The Trauma Bay sheet has its own MTP and blood product tracker.
Can I use it for triage?
If you triage at the door, it's not the ideal sheet — the workflow there is one patient at a time. Use the custom builder to make a triage sheet: ESI assignment + CC + vitals + ECG and POC tests sent.
What about a stroke or STEMI activation?
The Trauma Bay sheet adapts well for both. For stroke, the time-stamped event row captures LKW, NIHSS, CT time, and tPA/TNK time. For STEMI, capture door-to-EKG, cath lab activation, and door-to-balloon.
Does it have a place for a psych hold?
The pod sheet has a small "alerts" line per patient where you can mark a behavioral health hold or 1:1 sitter. For a full behavioral health workflow, the custom builder has a dedicated psych pod layout.
Pairs well with
Tools ER nurses tend to buy together.
Charge nurse board
If you charge the ED, the multi-patient board shows acuity dots, dispo status, and pending workups across the department.
See charge board →Drug card builder
Build pocket cards for ED drugs you push — adenosine, etomidate, narcan, push-dose epi, ketamine, TXA.
See drug cards →Handoff coach
Snap a photo of your pod sheet, get a clean handoff to the floor or to the next shift. Handles ED-style dispositions.
See handoff coach →