Hospital Admission
Hospitalist Admission and Daily Rounding Checklist
The Hospitalist Admission and Daily Rounding Checklist is a checklist for the hospitalist to use in helping to guide the care of the patient with heart failure, from admission to discharge. Currently the checklist is a paper document, but our plan is to eventually transform it to an E-tool that can be downloaded onto a handheld device.
Developed by the SHM Heart Failure Initiative Team Communications Workgroup (View the project team page for information on the workgroup members).
View the Hospitalist Checklist.
Sparrow Health System Heart Failure Admission Orders
Submitted by James Haering, DO, this paper-based tool is used in the Sparrow Health System with the goal of reducing unnecessary variation in heart failure (HF) treatment. The Admission Orders provide prompts for key ‘best practice’ treatment in HF. Tips for use: The key to physician use of the order set is providing the tool at the time of initial contact (e.g. the Emergency Department). Potential Pitfalls: The medications listed (dose and type) are not an all inclusive listing of treatment options. The orders will not fit all heart failure patients and is not intended as a substitute for physician clinical judgment.
View the Sparrow Admission Orders
History and Physical Form
History and Physical Form
Purpose of the Tool: To provide a uniform system for recording a history and physical for all patients upon admission.
Submitter: Lindsay M. Arnold, Pharm.D., BCPS
Tool Author: (if not the same as the submitter):Jeff Greenwald, MD
E-mail contact information: Lindsay.arnold@bmc.org
Date Tool Implemented: Winter 2005
Name of Institution: Boston Medical Center
Description of Institution: 547-bed academic, inner-city medical center
Tool Format (paper-based, computer-based, on handheld etc....): Paper-based.
Key Advantages Using this Tool:
- Provides a format conducive to admission by any service.
- Medication history section encourages review of all medications taken by a patient, such as herbals and over-the-counter medications.
- 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.
Resources Used to Develop Tool:
- Mulidisicplinary committee of various services and clinicians.
American Heart Association (AHA)
Heart Failure Admission Checklist
Please be advised of the following per the AHA: This document has been provided as an example of an admission checklist. This document is available only to give you an idea of how some hospitals might use an admission checklist. By including this document on its Web site, the American Heart Association does not represent that this document is complete, accurate or efficacious, or that it follows all of the American Heart Association guidelines for secondary and primary prevention of cardiovascular events or stroke. Hospitals should design their own admission checklists based on their own procedures and professional experience.
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