This is general information, not medical advice, and not a substitute for professional care. Do not rely on AI for diagnosis or treatment; consult a qualified clinician.
GPTPrompts.AIChatGPT for
ChatGPT for
Nurses
50+ HIPAA-compliant ChatGPT prompts that streamline nursing documentation. Save 2-3 hours per shift with SBAR handoffs, SOAP notes, care plans, and incident reports while maintaining Joint Commission standards.
01. Universal Clinical Documentation
Gold-standard templates used across all units:
SBAR Handoff (Gold Standard)
Situation-Background-Assessment-Recommendation format:
**SBAR for shift handoff**: Patient [NAME/ROOM], Dx [DIAGNOSIS].
S: [SUBJECTIVE: pain 6/10, N/V]
B: [BACKGROUND: post-op Day 2, T 38.2]
A: [ASSESSMENT: alert, IV patent, lungs clear]
R: [RECOMMENDATION: Tylenol 650mg, monitor output]
S: [SUBJECTIVE: pain 6/10, N/V]
B: [BACKGROUND: post-op Day 2, T 38.2]
A: [ASSESSMENT: alert, IV patent, lungs clear]
R: [RECOMMENDATION: Tylenol 650mg, monitor output]
SOAP Nursing Note
**SOAP note** for [PATIENT]: [DATE/TIME].
**S**: Patient reports [SYMPTOMS].
**O**: VS [BP/PULSE/RESP/O2/TEMP], physical [LUNGS/HEART/SKIN].
**A**: [INTERPRETATION: stable/improved].
**P**: [PLAN: labs stat, f/c Dr. Smith].
**S**: Patient reports [SYMPTOMS].
**O**: VS [BP/PULSE/RESP/O2/TEMP], physical [LUNGS/HEART/SKIN].
**A**: [INTERPRETATION: stable/improved].
**P**: [PLAN: labs stat, f/c Dr. Smith].
Shift Summary (End-of-Shift)
**12-hour shift summary** [UNIT]: Total patients [NUMBER].
Admissions [X], discharges [Y], codes [Z].
Interventions: [MEDS/IVs/PROCS].
Concerns for next shift: [ISOLATION/LOWSTAFF].
Admissions [X], discharges [Y], codes [Z].
Interventions: [MEDS/IVs/PROCS].
Concerns for next shift: [ISOLATION/LOWSTAFF].
02. Admission & Assessment Prompts
Nursing Admission Note
**Admission assessment**: [PATIENT] admitted [DIAGNOSIS].
VS: [FULL SET]. FALLS RISK: [SCORE].
SKIN: [INTEGRITY/BRADEN]. PAIN: [0-10].
IV: [SITE/FLUIDS]. ALLERGIES: [LIST].
Care plan initiated.
VS: [FULL SET]. FALLS RISK: [SCORE].
SKIN: [INTEGRITY/BRADEN]. PAIN: [0-10].
IV: [SITE/FLUIDS]. ALLERGIES: [LIST].
Care plan initiated.
Pain Assessment Documentation
**Pain assessment** [TIME]: Patient rates [SCALE]/10 at [LOCATION].
Onset [ACUTE/CHRONIC]. Quality [SHARP/DULL]. Radiation [YES/NO].
OPQRST documented. Intervention [MED/RICE]. Reassess 60min.
Onset [ACUTE/CHRONIC]. Quality [SHARP/DULL]. Radiation [YES/NO].
OPQRST documented. Intervention [MED/RICE]. Reassess 60min.
03. Medication & IV Prompts
Medication Administration Record (MAR)
**MAR**: [DRUG] [DOSE] [ROUTE] [TIME] for [PATIENT].
Indication: [DX]. Pre: [VS/ALLERGIES]. Given: [YES]. Post: [EFFECT].
Nursing notes: [TOLERATED/NAUSEA].
Indication: [DX]. Pre: [VS/ALLERGIES]. Given: [YES]. Post: [EFFECT].
Nursing notes: [TOLERATED/NAUSEA].
IV Fluids Documentation
**IV**: [SITE/GAUGE] [SOLUTION] [#cc/hr]. Infusing [PATENT/INFILTRATE].
Input [cc] Output [cc]. Next bag [TIME].
Input [cc] Output [cc]. Next bag [TIME].
04. Wound Care & Assessment
Wound Care Documentation
**Wound care** [LOCATION]: [SIZE LxWxD cm]. Exudate [AMOUNT/TYPE].
Surrounding skin [ERYTHEMA/INDURATION]. Dressing [TYPE] applied.
Photo protocol followed.
Surrounding skin [ERYTHEMA/INDURATION]. Dressing [TYPE] applied.
Photo protocol followed.
Braden Scale Documentation
**Braden Score**: [TOTAL/7]. Sensory [SCORE], Moisture [SCORE], etc.
Interventions: [REPOSITION/TURN SCHEDULE].
Interventions: [REPOSITION/TURN SCHEDULE].
05. Specialty Unit Prompts
ICU Neuro Flowsheet
**ICU neuro**: LOC [AVPU], pupils [SIZE/REACTIVE], MAP [VALUE].
Sedation [RASS SCORE].
Sedation [RASS SCORE].
Labour & Delivery
**L&D**: [PARITY] [GEST AGE]. FHR [RATE]. Contractions [FREQ/DUR].
Cervical exam [CM/-STATION].
Cervical exam [CM/-STATION].
NICU Flowsheet
**NICU**: Weight [GRAMS], feeds [VOL/TYPE], residuals [ML].
Apgars [1/5/10 MIN].
Apgars [1/5/10 MIN].
06. Documentation Hacks
Abbreviated Flowsheet
**0700**: VS stable, I/O +1L, pain 2/10, ambulated 50ft.
PRN Effectiveness
**PRN**: [MORPHINE 2mg IV] given [TIME]. Pain [PRE 8/10 → POST 3/10].
No resp depression.
No resp depression.
Rapid SBAR (5-Minute)
**SBAR rapid**: Room 12, 72M CHF, Lasix 40mg q12, K 3.2, watch output.