ICU Nurse Shift Handover Form
Patient Name
MRN / ID
Room / Bed No.
Date & Time
Presenting Complaints / Diagnosis
Current Condition
Vital Signs
Temperature
Pulse
BP
Respiratory Rate
Consciousness
Ongoing Treatments / Infusions
IV Access
Lines & Catheters
Recent Procedures / Events
Lab Results / Investigations
Pending Tasks
Other Notes
Outgoing Nurse
Incoming Nurse