ICU Daily Progress Note Template (Free Download)
Keep critical care documentation consistent across shifts. This systems-based ICU note template covers ventilator settings, pressors, organ support, and daily goals in minutes.
What’s included
- Neurologic, respiratory, cardiovascular, renal, GI, ID, and hematology sections.
- Ventilator mode, settings, ABG, and oxygenation tracking.
- Hemodynamics and vasoactive infusion documentation.
- Daily goals, disposition planning, and family communication prompts.
Copy into your EMR or import the RTF as a smart phrase template.
Download the template
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How to stay consistent on ICU rounds
Systematize your assessment to avoid missing critical details. Start with neurologic status, sedation, analgesia, and delirium screening. Move to respiratory (ventilator settings, ABG) and cardiovascular (hemodynamics, pressors) so the team has a common mental model.
Document intake/output, renal replacement therapy, and electrolytes in the renal section. Use GI and ID sections for nutrition, prophylaxis, cultures, and antibiotics. This structure ensures billing and audit compliance for critical care time.
Finish the note with daily goals, disposition planning, and family communication. Payers look for evidence that you updated the care plan and addressed goals of care—this template keeps those prompts front and center.
Frequently asked questions
What should an ICU progress note include?
ICU notes should address systems-based assessments—neurologic, respiratory, cardiovascular, renal, GI, ID—as well as ventilator settings, vasopressors, daily goals, and family communication. This template walks you through each section.
Does it support ventilator and pressor documentation?
Yes. The respiratory section includes ventilation mode, settings, and oxygenation. The cardiovascular section tracks hemodynamics and vasoactive infusions so your documentation stays consistent across shifts.
Can APPs and residents use this template?
Absolutely. The template standardizes rounds across providers and makes it easy to hand off to oncoming teams. It’s ideal for intensivists, residents, nurse practitioners, and physician assistants.
Document critical care rounds in real time
NoteV listens to ICU rounds, tracks systems-based updates, and drafts progress notes instantly. Review, finalize, and focus on patient care—not the keyboard.