Nurse Report Sheet Template for LPNs (Long-Term Care and Subacute Rehab)
A nurse report sheet is the single page you carry all shift: who your residents are, what is due and when, and what the next nurse needs to hear at hand-off. Many units call it a brain sheet. New LPNs who start every shift with the same report sheet layout miss fewer meds, fingersticks, and treatments, and give a cleaner end-of-shift report.
Prefer to see it? Watch the 81-second walkthrough of the 4-patient report sheet on YouTube.
What a good LPN report sheet includes
- Resident name, room, age, code status, allergies, and diet or fall precautions at the top of each box
- Diagnosis and the reason they are on your unit (long-term, skilled rehab, new admission)
- A timeline row for scheduled meds, fingersticks, treatments, and vitals so you can check them off
- PRNs given with the time and the reassessment time
- Changes of condition, new orders, and who you notified
- A short report section in SBAR order for the hand-off
How to use it on shift
- Fill the top of each box during the report you receive, before you leave the nurses' station.
- Write every timed task into the timeline row, then cross it off as you go.
- Add new orders and calls in the notes area as they happen, not at the end of the shift.
- Thirty minutes before shift change, read down each box and finish your charting.
- Give report straight from the sheet in the same order every time.
Get the template
- LPN 4-Patient Brain Sheet, a printable report sheet laid out for long-term care and subacute units
- SBAR Hand-Off and Change of Condition sheet, for provider calls and shift report
- LPN Complete Shift Kit, report sheet, med pass tracker, SBAR hand-off, and more in one bundle
- All Shift Ready Studio templates
Free guides that go with it
- How to Organize a 4-Patient LPN Shift
- End-of-Shift Report for New LPNs: A 15-Minute Hand-Off Routine
- LPN Brain Sheet Template for a 4-Patient Shift
- LPN SBAR Template
- All free guides for new LPNs and the mirror on Rentry
By Shift Ready Studio. For organization and study only; follow your facility's policies, your scope of practice, and your nursing judgment. Not medical advice.