Free Nursing Task Checklist Template

Nursing Task Checklist

Prepared By: [Your Name]

Date:                               
Shift:                               
Nurse's Name:                               
Patient Name:                               
Patient ID:                               

I. Tasks to Complete

Task

Time/Date

Status

Nurse's Initials

Administer Medication

  • Not Started

  • In Progress

  • Completed

Monitor Vital Signs (BP, HR, Temp)

  • Not Started

  • In Progress

  • Completed

Change Wound Dressing

  • Not Started

  • In Progress

  • Completed

Assist with Patient Hygiene

  • Not Started

  • In Progress

  • Completed

Update Patient Chart

  • Not Started

  • In Progress

  • Completed

Prepare for Lab Test (Blood Draw)

  • Not Started

  • In Progress

  • Completed

Provide Emotional Support

  • Not Started

  • In Progress

  • Completed

Set up Equipment for Procedure

  • Not Started

  • In Progress

  • Completed

II. Additional Notes/Instructions

Checklist Templates @ Template.net