ADC VAN DISMAL

  • Admit to (floor, service, attending)
  • Diagnosis
  • Condition
  • Vitals
    • - q4h if on the floor
    • - q1h if in the unit
    • - Special checks needed? (e.g. neuro/pulses?)
  • Activity
    • - Any reasons to lie flat (e.g. groin sheaths)?
    • - Fall risk (elderly, mental status)?
  • Nursing (what’s the pt “wearing”?)
    • - Nasal cannulae
    • - NGT?
    • - ETT?
    • - Central lines?
    • - Drains? (JP?CT?)
    • - Incision (wound care?)
    • - SCDs
    • - ALWAYS strict I/O’s
  • Diet
  • IVF
  • Studies (Central line? intubated?: CXR!)
  • Meds
    • - Everyone:
      • - Anti-ulcer
      • - Anti-DVT (ask!)
      • - Anti-nausea
      • - Anti-pain
      • - Antibiotics
    • - Patient specific:
      • - Sliding scale insulin?
      • - Beta-blocker?i>
      • - Nebulizers?
      • - Home meds? (ask!)
        (beware of w/d)
    • Allergies
    • Labs (order them AND see them)