Hospital Admission

Baptist Hospital of Miami, Chest Pain, ACS, and AMI Admission Form
The Chest Pain, ACS and AMI Form are a standardized admission form that we use at Baptist Hospital of Miami. The order set is meant to remind the admitting physician of the standard treatments and Core Measures required for AMI.
View the Baptist Hospital of Miami Admission Form.

Sutter Medical Center, Sacramento, California, Acute Coronary Syndrome/Acute MI Admission Order
The Sutter Medical Center website has made available ACS pre-printed orders and hospital forms via their website. These forms focus on the ACS core measures and include Acute Coronary Syndrome/Acute MI Admission Orders.
View the Sutter Medical Center Admission Orders.

Sutter Medical Center, Sacramento, California, Core Measures Alert
The Sutter Medical Center website has made available ACS pre-printed orders and hospital forms via their website. These forms focus on the ACS core measures and include a Core Measure Alert Form.
View the Sutter Medical Center Core Measures Alert.

Boston Medical Center, History and Physical Form
Courtesy of Lindsay M. Arnold, Pharm.D, BCPS, the Boston Medical Center, History and Physical Form authored by Jeff Greenwald, MD and a multidisciplinary committee of clinicians was implemented in the winter of 2005 at Boston Medical Center which is a 547 bed academic inner city medical center.

Key Advantages:

• The tool format is paper based which is conducive to admission by any service.
• There is a medication history section that encourages review of all medications taken by the patient which includes OTC and herbal.
• The form also encourages medication reconciliation on admission by challenging the clinician to think about each medication a patient is taking should be continued upon admission.

Tips on Using this Tool:

• Promote multidisciplinary aspect by encouraging nurses, pharmacists, physicians and other clinicians to update the history as new information is learned.

Important Pitfalls:

• Currently not about to be linked to electronic hospital system.

View the Boston Medical Center History and Physical Form.

UCLA Medical Center, Acute Coronary Syndrome Admission Orders
UCLA Medical Center has made available their ACS Admission Orders. These orders and other clinical tools can be found on the UCLA Medical Center CHAMP website.
View the UCLA ACS Admission Orders.