INPATIENT ADMISSION CHECKLIST

Settle patient into bed

• Orientate to room
• Call bell in reach
• Assess, take vitals (chart on vital sign sheet + patient care summary)

Check Orders

• Complete any outstanding STAT or urgent orders 
• Physician to review home med list (BPMH) and sign orders

Label chart and fill out admission package; include the following: 

• Goals of Care
• Allergy Sheet with height + weight, fax to pharmacy 
• Infection Control Risk Assessment- *should be filled out in ED* if not to be completed upon admission
• Blaylock Discharge Planning Risk Assessment Screen: score greater than 10 then fax to home care with a face sheet. 
• Patient admission database
• Patient Care Summary- use reference tools for Morse Fall scale and Braden Scale (do NOT need to document on separate tools)
• Interdisciplinary Note 

Transcribe orders

• Check ED medication administration sheet for last/first dose of meds
• Transcribe new orders to 5 day MARs. Note parameters, standard admin times, and any changes to the MAR (i.e. d/c, hold, etc) in RED 
•  Ensure requisitions for PT/OT/SLP/LAB/DI/home care have been faxed accordingly
• Organize chart using tabs in chronological order per tab (oldest to newest). 
• Update kardex (IN PENCIL)
• Compete all orders and note in RED in chart when completed/req created & faxed

**Clarify orders with MD if needed**