ICU documentation templates??

I am a recent graduate who just got my first job working in the ICU. We have online documentation and have to enter vitals q hr and do assessments q4 hrs. I was wondering if anyone had any good templates they go by for their documention? also if anyone had any templates or tips for report?!

Any tips/advice is WELCOMED!!!
What EMR do you guys use?

Please experienced ICU nurses give us new grads some information on how to document. Templates are welcome. I need help, with documenting too.

My template begins with the patient sticker (top left) then from left to right, allergies, code status, age, attending MDs, weight, family names and contact #'s, then the password for giving info.Then DxHxNeuroPulmonaryMode Tv Peep F1o2CardiacGILBMGUSkin/WoundIVsFluids/DripsThings to doGIEach heading has a few lines after for notes pertaining to the systemThe right column goes by hour with about 1/4 inch of space to write what need to be done at that time. Included in this space is UOP and CT (chest tube)Every 4th hour there is a space for temp and meal % eaten.Hope this helps! Welcome to nursing!

Hi there,I just started as a new graduate recently at a busy trauma center ICU.We also use an online system to chart vital signs, I&O, assessments and nursing care. The program is called VisICU/ CareWatch; this is used in conjunction with the eICU.I will try to upload my template later, but it is quite similar to the one shown above:Patient sticker, diagnosis, allergies, codeHistory, history of present hospitalizationIV Fluids, Drips, IVsPrecautionsNeuroCVRespDiet, BG, activity, weightGI/GU, LBMSkin, wound, drainPsych social, familyBottom rows contain time blocksMy template is set up in SBAR format; it works well giving report from as well as using when calling the MD.