Dialysis Nurse Brain Sheet | Hemodialysis Treatment Report Sheet (Printable and Fillable PDF)
Built for the dialysis unit. This brain sheet follows one patient through a treatment, from access and dry weight to the flowsheet and the handoff, so the numbers you need are on one page.
What’s on the page
- Allergies (heparin, latex), code status, cause of kidney failure, nephrologist, dry weight, last and next HD, isolation
- Access type with site, side, bruit and thrill
- Modality: HD, CRRT, SLED, isolated UF, peritoneal, bedside
- Prescription: dialyzer, bath, blood and dialysate flow, heparin, pre and post weight, UF goal and UF removed
- Treatment flowsheet for BP, HR, SpO2, UF rate, blood flow, pressures and TMP
- Labs, assessment checks, meds with treatment and complications
- Access hold time, handoff notes and a to do list
What you get
- Printable and fillable PDF versions
- US Letter and A4 sizes
- Instant download, so you can print a stack before your next shift
Made by a working nurse. I’ve spent 10 years in ICU, trauma, surgery and the ER, and I got tired of writing in the margins of blank notebook paper. This is the kind of sheet I wanted.
Please note: This is an organizational tool, not medical advice. Prescriptions, hold times and access care vary, so follow your unit’s protocol and your facility’s policies on patient information. Don’t leave filled-in sheets lying around.
AI disclosure: Some design elements and mockup images were created with the help of AI tools. The layout and clinical content were designed by a registered nurse.