My Discharge Summary

HOSPITAL MEDICINE, NOTES

Admissions Date: Discharge Date: Service: __________ ; Attending Physician: Dr. ________; Resident: Dr. _______ PCP / Referring Physician: Discharge Diagnosis: (Copy and paste problem list from last Progress Note) Consultants: Name, MD/DO, Date Name, MD/DO, Date List...

Frequent Inpatient To Do List

HOSPITAL MEDICINE

Order AM Labs Review tests, labs, studies, procedures ordered that day Check pending cultures Check antibiotics and know what day # it is. Do they need to continue? Know Disposition and end point for each patient. Where do we need to get with the patient for them to...

Comfort or PRN Medications (Inpatient and Outpatient)

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds, HOSPITAL MEDICINE, Pharmacy and Therapeutics

Note, many EHRs allow you to simply type “PRN Medications” to bring up power sets that allow you to choose prn meds. Check yours. It could make your job easier. Common Comfort or PRN Meds for Inpatient and Outpatient use. Pain control Pain management...

Adult History & Physical Note

HOSPITAL MEDICINE, NOTES

Adult H & P Form Date of Admission: Resident: Kenneth Acha, MD, UCR FM PGY2 Attending: PCP: Specialists:   Reason for Admisson: HISTORY OF PRESENT ILLNESS: ____ yo M/F with a history of …. who presents with a….   At baseline, the patient...

Discharge Note, Family Medicine

HOSPITAL MEDICINE, NOTES

PDF Version of Discharge Summary, Family Medicine Discharge note format recommended for use when working with Dr. Streletz. Admission Date: Discharge Date: Service: Service Name, Attending Physician, Residents PCP or Referring Physician:  Discharge Diagnoses: E.g....

FAST HUGS IN BED Please! ICU Patient Care, mnemonic

HOSPITAL MEDICINE, MNEMONICS

http://lifeinthefastlane.com/fast-hugs-in-bed-please/ FAST HUGS IN BED Please! Fluid therapy and feeding Analgesia, antiemetics and ADT (AAA) Sedation and  Spontaneous breathing trial Thromboprophylaxis Head up position (30 degrees) if intubated Ulcer prophylaxis...