MyBlackCloud hospital hallway art with a dark cloud and healthcare staff
Sign Up to Play Level 1 Free

One-time paymentInstant accessLevel 1 is always free

About This Game

SHIFT is a browser-based ICU time-management game. Bounce between patients, handle the black-cloud events that disrupt your unit, and keep every bed stable before the next alarm fires. Responsive controls work on desktop, tablet, and mobile — no install, no plugins.

Level 1 is free. Unlock all 8 levels for $5 and your progress is saved to your account.

How to Play
Get the patient on your radar
Step 01ICU run

Get the patient on your radar

Read the room, watch the black-cloud pressure meter, and identify the patient who needs the next intervention before the clock runs out.

Grab the right tool
Step 02ICU run

Grab the right tool

Use the right equipment for the right patient, keep your bag stocked, and move quickly through the hallway before alerts stack up.

Clear the shift
Step 03ICU run

Clear the shift

Stabilize the unit, finish each task cleanly, and unlock the next level when your score and speed are high enough to survive the chaos.

Field Guide

Choose the gear that survives the shift.

Nursing kit · 16 items
01IV start kit1 slot

RN pack tool

IV start kit

Prepare supplies for peripheral IV access.

02Antibiotic1 slot

RN pack tool

Antibiotic

Administer the ordered antimicrobial dose.

03Fluid bag2 slots

RN pack tool

Fluid bag

Give the ordered IV fluid bolus.

04Pressor1 slot

RN pack tool

Pressor

Support blood pressure with the ordered infusion.

05Foley kit2 slots

RN pack tool

Foley kit

Place a urinary catheter and drainage bag.

06NG tube1 slot

RN pack tool

NG tube

Place a tube for enteral access or decompression.

07Blood cultures1 slot

RN pack tool

Blood cultures

Collect cultures for the infection workup.

08Glucometer1 slot

RN pack tool

Glucometer

Check the patient’s blood glucose.

09Insulin1 slot

RN pack tool

Insulin

Give the ordered insulin dose.

10ECG leads1 slot

RN pack tool

ECG leads

Connect the patient to cardiac monitoring.

11Dressing kit1 slot

RN pack tool

Dressing kit

Clean and dress the wound site.

12Analgesia1 slot

RN pack tool

Analgesia

Give the ordered pain medication.

13Slide sheet2 slots

RN pack tool

Slide sheet

Reposition the patient with assisted movement.

14Chart1 slot

RN pack tool

Chart

Record the care step and patient response.

15Blood unit1 slot

RN pack tool

Blood unit

Hang the ordered blood product.

16Suppository1 slot

RN pack tool

Suppository

Administer the ordered rectal medication.

Platform

Any browser

Genre

ICU shift simulator

Levels

8 shifts + boss rounds

Install

None required

Ready to start

Save the unit. Unlock the full game.

Start with the free opening shift, then unlock all eight levels for $5 and keep your progress tied to your account.

Sign Up

One-time paymentInstant accessLevel 1 is always free