Three Delta Design
Reusable Report Template
Reusable Report Template
12 order spots left in this batch. Everything is printed to order in small batches.
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Need more than 5? Online orders are limited to 5 of each item. For crews, bases and programs I take bulk and team orders, including custom colors and logos. Ask about a team order →
The report card I use on every critical care transport, now in four specialties. Write with a ballpoint pen, wipe it clean with an alcohol pad, and it's ready for the next patient. One side has the template, the other side is blank.
Built by a working flight nurse and paramedic for flight nursing, critical care transport and paramedicine. Each card is 4.25 x 5.5 in cardstock, laid out so the information you actually hand off is where your eyes go first. Designed to fit the FlexNote, and works just as well as a standalone brain sheet on any clipboard or in a pocket.
Choose your specialty
- Critical Care: HPI, allergies/hx, to-do checklist, meds, labs with chem and CBC fishbones, ABG/vent, imaging, access, times
- EMS: PT/CC, mechanism/injuries, vitals grid (BP, HR, RR, SpO2, GCS), treatment, IV/meds, notes, times
- Code/Rapid: event/HPI, airway, IVs, event log with rhythm, shock joules, meds and pulse checks, team, notes
- Cardiac/Tele: HPI/DX, ECG with PR, QRS, QTc and pacer, labs, procedures, meds, access, weight, notes
- Blank Only: no template, both sides open for your own layout
- Combo ($25): all four specialty cards (Critical Care, EMS, Cardiac/Tele, Code/Rapid) at a bundle price
Why reusable
- One card replaces a stack of printed brain sheets
- Ballpoint writes clean and an alcohol pad wipes it back to blank
This is a physical card that ships to you. Ready to ship in 7 to 10 days from Maine, and you'll get tracking as soon as it ships.
Prefer to print your own? The same templates are also available as Printable Report Cards, a digital download. Those are printable files only and don't include this reusable card.
Built for chaos, designed for control.
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