Critical care · 1:1 and 1:2
ICU brain sheet — built for the unit you actually work in.
Two vented patients, four drips, a CRRT machine that beeps at 0400, and a lab call about a pH of 7.21. Your brain sheet should hold all of that on one page — with room to actually titrate. This one does.
Pt: R. Alvarez · Bed 7 · 58M
RASS −2 · CPOT 2 · CAM-ICU neg
What's on it
Every box you actually use in critical care.
No fluff, no irrelevant home-med list eating half the page. This is the layout a charge nurse would build for the unit.
Core ICU sections
- Patient banner — code status, allergies, isolation, weight, ICU day #
- Ventilator settings — mode, FiO2, PEEP, Vt, RR, Pplat, peak, last ABG
- Drips by category — pressors/inotropes, sedation/analgesia, other, with current rates and MAP-HR-RASS goals
- Hourly vitals glance (q1h) — MAP, HR, SpO2, UOP across the full 12-hour shift
- Neuro Q1 — GCS, pupils, RASS, CPOT, CAM-ICU, sedation holiday status
- Lines & drains — central line day #, A-line, Foley, chest tube, OG/NG with output
- Labs by system — ABG trends, BMP, CBC, LFTs, coags, lactate trend
- FAST-HUG bundle — Feeding, Analgesia, Sedation, Thromboprophylaxis, Head of bed, Ulcer prophy, Glucose
Honest constraints
A few things we deliberately kept off the standard ICU sheet (you can add them in the builder if you want):
- No full home med reconciliation — that lives in the chart; we keep a "home meds to clarify" line
- No social work narrative — replaced with a small family / goals-of-care box
- No huge head-to-toe block by system — collapsed into pertinent findings + lines/drains, because most of your assessment is hourly
- No "diet" line — your patient is NPO with TPN or tube feeds, and that's in the FAST-HUG row
Want CRRT, ECMO, balloon pump, or post-arrest TTM rows? Use the custom builder and toggle them on.
Who it's for
New to the unit, or seven years in.
"I don't know what I'll forget."
The hourly grid forces you to check vitals on time. The FAST-HUG row catches the things that get lost on a busy night (PPI? HOB? VTE prophy?). The drip section already has the goals next to the rate, so when the doctor asks if the MAP is at target, you don't have to scroll.
"I just want a clean grid."
No clip art. No filler boxes. Vitals across the top, drips down the side, room for what you actually titrated and at what time. The ABG trend row stacks 3 gases on one line so you can see if you're trending toward hypercapnia.
"I land in a new ICU every 13 weeks."
The layout is unit-agnostic. Whether you're in a MICU, SICU, neuro ICU, or CVICU, the vent/drips/lines structure carries over. Print 14 copies the morning of your first shift.
What's actually on the sheet, clinically
The bundles and targets we built it around.
If you're going to print 12 of these per shift, the sections should match how critical care is actually delivered.
FAST-HUG (Vincent, 2005)
A daily ICU bundle to catch the things that get missed when you're chasing pressors.
- Feeding — enteral preferred when gut works; goal within 24-48h
- Analgesia first — pain control before sedation
- Sedation — lightest effective, RASS goal (often −1 to 0)
- Thromboprophylaxis — SCDs and/or pharm (heparin SQ, enoxaparin)
- Head of bed — 30°+ to reduce VAP risk
- Ulcer prophylaxis — PPI or H2 blocker per protocol
- Glucose — typical target 140-180 mg/dL
Hemodynamic targets we leave room for
- MAP goal > 65 mmHg (often higher in chronic HTN or neuro)
- UOP > 0.5 mL/kg/hr
- RASS −1 to 0 for most vented patients (deeper if proning or paralyzed)
- CPOT < 3 for adequate analgesia
- Lactate trend — should clear in sepsis with resuscitation
- SpO2 92-96% (lower in COPD, higher if pulmonary HTN)
These are common defaults — your unit's order set and your patient's clinical picture override.
Get yours
Premade in 30 seconds, custom in 3 minutes.
ICU Vent + Drips premade
The exact layout above. Hourly grid, vent, drips, FAST-HUG, ABG trends, lines/drains day #. PDF + editable Word.
Build your custom ICU sheet
Add CRRT, ECMO, IABP, TTM, neuro-ICU drains, or a 2-patient compact layout. AI assist suggests a starting setup.
Secure Stripe checkout · Instant email delivery · 7-day fix-or-refund
FAQ
What ICU nurses ask before buying.
Does it cover hourly drip titration?
Yes. The drip block lists each drip with current rate, units, and goal (e.g., MAP > 65 for pressors, RASS for sedation), and the hourly glance row has space to note titration changes alongside MAP/HR/UOP. If you titrate frequently, the custom builder also has a dedicated titration log section.
Will it print well on a half-sheet for pocket carry?
The premade is portrait letter, which fits in a clipboard. If you want a folded half-sheet for pocket carry, use the builder and select the half-sheet layout — same sections, denser grid.
Do you have a CRRT version?
Not as a separate premade, but the custom builder includes a CRRT toggle that adds filter age, effluent rate, blood flow, replacement fluid, citrate/Ca status, and filter pressures. It snaps in below the drip section.
Can I use this in a CVICU or neuro ICU?
The base sheet works for both. CVICU nurses tend to add a post-CABG / mechanical support row (chest tubes, pacing wires, IABP/Impella). Neuro ICU adds ICP, CPP, EVD drainage. Both are available as optional sections in the builder.
Is the ABG trend row big enough for a long admit?
It holds three gases stacked on one line (pH/CO2/PaO2/HCO3). For prolonged ARDS or prone admissions, the builder has an "ABG trend extended" section with six rows.
Pairs well with
Tools ICU nurses tend to buy together.
Drug card builder
Build pocket cards for the drips you actually run — levo, vaso, epi, propofol, fent, precedex — with dose ranges and titration notes.
See drug cards →Charge nurse board
If you charge ICU, the multi-patient board gives you acuity dots, drip flags, and lines/drains day # at a glance.
See charge board →Handoff coach
Photograph a filled sheet and get a clean SBAR back for the oncoming nurse. Handles ICU-specific framing.
See handoff coach →