Hospital admission and discharge orders Flashcards
What is the content and organization of hospital admission orders?
ADC VAAN DIML:
Admit (23 hours, full admit, service of attending,…)
Diagnosis
Condition (“Stable”, “Guarded”, etc.)
Vitals (post-op, routine, q 1 hour, etc.)
Allergies
Activities (Strict bed rest, fall precautions, ad lib, bathroom privileges, etc.)
Nursing (Strict I&O’s, Daily weights, Call P.R.N. whatever, etc.)
Diet (NPO, Regular, Clears - advance diet as tolerated, 2000 cal ADA, renal, etc.)
IV fluids (D5 1/2 NS c 20 KCL at 110 ml/hr, LR @ 100 ml/hr, etc.)
Meds (scheduled and PRN’s)
Labs and x-ray (CBC in AM, PCXR in PACU, etc.)
What are the principles of discharge planning?
Discharge planning involves:
o Determining the appropriate post-hospital
discharge destination for a patient;
o Identifying what the patient requires for a
smooth and safe transition from the acute
care hospital/post-acute care facility to his
or her discharge destination; and
o Beginning the process of meeting the patient’s
identified post-discharge needs.
(Medicare guidelines)
- Know where patient is going
- Advise whether special assistance will be needed e.g. friends/family
- New, changed, discontinued medications
- What equipment will be needed at home e.g. walker, oxygen
- What activities is the patient able to do e.g. lifting, using stairs
- What followup appointments/visits will be set up/needed
(JAMA)