Does this work for step-down units too?

Yes. The telemetry variant is also the right default for step-down. Toggle off any rows you don't use.

Can I attach a rhythm strip?

Rhythm work lives in Rhythm Practice — drills on known-answer strips, plus a free rhythm atlas. It is study material and does not interpret a strip from your own patient. Your brain sheet stays on your iPhone.

What about lethal-rhythm notification protocols?

RN PocketPal doesn't replace your unit's notification protocol. The brain sheet is a personal organizer; the protocol is the protocol.

Does it sync to my Apple Watch?

Apple Watch quick-glance is on the v1.5 roadmap. iPhone-only in v1.0.

A telemetry nurse brain sheet for the rhythm-watching shift.

Rhythm notes, drips, electrolytes, telemetry-specific isolation, and a clean handoff view — built for tele/step-down workloads.

Rhythm notes scribbled in margins that don't make it to handoff.
Electrolyte trends that decide whether you call the resident.
Drips with concentrations the next shift won't remember if you don't write them down.

What RN PocketPal does

Per-patient rhythm timeline with strip-capture support.
Electrolyte trend pills (K, Mg, Ca) flagged at critical thresholds.
Drip rows with concentration, rate, and titration history.
Telemetry-specific isolation and code-status sections.
Handoff PDF export with rhythm notes intact.

Who it’s for

For Telemetry and step-down RNs.

Educational reference only. Not a medical device. Verify with clinical judgment, facility policy, and primary sources. Read the full disclaimer.

What belongs on a telemetry brain sheet

Baseline rhythm, so a change is obvious at a glance
Telemetry box number and the alarm parameters set
Cardiac meds with their hold parameters (HR and BP)
Troponin trend, and potassium and magnesium
Any chest pain episode: time, what you gave, what happened
Activity orders — bedrest, up with assist, or ad lib

Want one you can print?

Two free options, no signup: a ready-made printable brain sheet (PDF) with a single-patient sheet and a 4-patient grid, or the brain sheet builder if you want to choose the layout and how many patients fit on a page.

Paper works on units that do not allow phones. The digital version in the app is for everyone else.

Frequently asked questions

Does this work for step-down units too?: Yes. The telemetry variant is also the right default for step-down. Toggle off any rows you don't use.
Can I attach a rhythm strip?: Rhythm work lives in Rhythm Practice — drills on known-answer strips, plus a free rhythm atlas. It is study material and does not interpret a strip from your own patient. Your brain sheet stays on your iPhone.
What about lethal-rhythm notification protocols?: RN PocketPal doesn't replace your unit's notification protocol. The brain sheet is a personal organizer; the protocol is the protocol.
Does it sync to my Apple Watch?: Apple Watch quick-glance is on the v1.5 roadmap. iPhone-only in v1.0.

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Reviewed by RN PocketPal Clinical Team, RN. Last reviewed May 7, 2026.