NOTES AND ORDERS
ADMIT
|
Floor, Service,
Attending, Resident, Intern/AI |
|
DIAGNOSIS |
List in order of
priority |
|
CONDITION |
good / stable /
fair / guarded / critical, etc. |
|
VITALS |
q4o/ q
shift / per routine |
|
ACTIVITY |
ad lib / bed rest
/ up to chair, etc. |
|
ALLERGIES |
List; if none
then NKDA = “no known drug allergies” |
|
NURSING |
List everything
that you want the nursing staff to do, i.e. “ins and outs q shift”, “bed to telemetry”,
“elevate head of bed”, “change dressing bid”, “foley to gravity”, etc. |
|
DIET |
NPO / regular /
clear liquids / ADA / heart healthy, etc. |
|
IV FLUIDS |
Type of fluid at
rate for # bags |
|
MEDS |
List all
medications |
|
LABS |
CBC, BMP, ABG, EKG,
urinalysis, CXR – PA and lateral, etc. |
|
SPECIAL |
Physical therapy,
diabetic educator, dietician consult, etc. |
|
CALL IF |
Temp > 101 or
< 96, HR > 120 or < 60, RR > 30, BP > 160/90 or < 85/60 |
|
ADMISSION/DISCHARGE DATES |
|
|
ADMISISON/DISCHARGE DIAGNOSES |
List in order of
importance |
|
SERVICE |
Service,
Attending, Resident, Intern/AI |
|
CONSULTS |
Service,
Attending physician, Date |
|
PROCEDURES |
Procedure name, Date,
Results (this includes ABG, CT, MRI, Echo, biopsies and pathology results,
etc.) |
|
HISTORY and PHYSICAL |
“See Admission
History and Physical” |
|
COURSE |
List problems in
order of importance and a brief summary of hospital course, including status of
problem at discharge. |
|
CONDITION |
good / stable /
fair / guarded / critical, etc. |
|
DISPOSITION |
Discharged to
home, nursing home, etc. |
|
MEDICATIONS |
Discharge
medications with dosage, etc. |
|
INSTRUCTIONS |
Activity, diet,
dressing care |
|
FOLLOW-UP |
Follow-up
appointments with doctor on date |
|
Subjective |
Patient’s status
overnight, including complaints and interval change (“no chest pain past 24
hours,” etc.), as well as nursing comments. |
|
Objective |
Vitals – Temp, Tmax,
BP range, HR, RR, O2 sat, ventilator settings; Ins/Outs – IV/PO
intake; urine/NG suction/drain volume, #BM/emesis; Physical exam; Labs,
imaging, etc. |
|
Assessment/ Plan |
Summarize the
patient in one sentence – “63 yo wm with history of CHF, HTN, COPD presenting
with chest pain and SOB.” Provide
problem list and what is being done about problem in order of importance. |
|
PROCEDURE |
|
|
PERMIT |
Procedure, benefits,
risks (including those of bleeding, infection, injury, anesthesia), and
alternatives explained to patient who voiced understanding of the information
and agreed to proceed. Permit signed
and on the chart. |
|
INDICATION |
Meningitis,
pleural effusion, venous access, ascites, etc. |
|
PHYSICIAN(S) |
|
|
DESCRIPTION |
Area prepped and
draped in a sterile fashion. (Local,
spinal, etc.) anesthetic administered using (cc medication). Describe technique including body
location, instruments, etc. |
|
COMPLICATIONS |
(Hopefully none) |
|
EBL |
(estimated blood
loss in cc) |
|
DISPOSITION |
Patient resting
comfortably, breathing non-labored, incision clean, dry, and intact, etc. |
|
cc: |
Patient’s complaint
in his/her own words |
|
History (Hx) of Present Illness: |
Chronological
order of time / place of symptoms, onset, duration, frequency, location,
quality, quantity, severity, aggravating and alleviating factors, associated
symptoms, medicines taken, relevant laboratory values (if transferred from
outside hospital), pertinent negatives. |
|
Past Medical Hx: |
Previous
diagnoses and date of diagnosis, complications of illnesses; childhood
illnesses and immunizations if pediatric; most recent hospitalizations;
results of screening tests (echo, Pap smear, mammogram, cholesterol) |
|
Past Surgical Hx: |
Operation(s),
date(s), reason, outcome, blood transfusions, complications |
|
Family Hx: |
Age, health,
death of parents, siblings, spouse, children. Ask about diabetes, heart disease, hypertension, stroke,
cancer, bleeding disorders, asthma, arthritis, tuberculosis, seizures, mental
illness, symptoms of presenting illness. |
|
Social Hx: |
Current
residence, education, employment, persons at home, diet, exercise; tobacco,
alcohol, or drug use – amount, frequency, duration of each |
|
Medications: |
Name, dose,
frequency, reason for taking, complaint? |
|
Allergies: |
Medications and
reactions to those medications |
|
Review of Systems: |
1. General: weight change, fatigue, weakness, fever, chills, night
sweats. 2. Skin: skin, hair, nail changes, itching, rashes, sores, lumps,
moles. 3. HEENT: trauma, headache location/frequency, nausea, vomiting,
visual changes, diplopia, hearing loss, tinnitus, vertigo, earache,
rhinorrhea, stuffiness, sneezing, allergy, epistaxis, bleeding gums,
hoarseness, sore throat, swollen neck. 4. Breasts: skin changes, masses/lumps, pain, discharge, self exams? 5. Lungs: shortness of breath, wheezing, cough, sputum, hemoptysis,
pneumonia, asthma, bronchitis, emphysema, tuberculosis, last CXR. 6. Heart: hypertension, murmurs, angina, palpitations, dyspnea on
exertion, orthopnea, paroxysmal nocturnal dyspnea, edema, last EKG. 7. GI: appetite, nausea, vomiting, indigestion, dysphagia, BM
frequency/change, diarrhea, constipation, hematemesis, melena, hematochezia,
hemorrhoids, abdominal pain, jaundice, hepatitis. 8. Urinary: frequency, hesitancy, urgency, polyuria, dysuria,
hematuria, nocturia, incontinence, stones, infection. 9. Genital: STD history/treatment, contraception, sex interest and
function; male = penile discharge/sores, testicular pain/masses, hernias;
female = menarche, period regularity, frequency, duration, dysmenorrhea, last
period, itching, discharge, sores, pregnancies and complications,
miscarriages, abortions, birth control, menopause, hot flashes/sweats. 10. Vascular: edema, claudication, varicose veins, thromboses/emboli 11. Musculoskeletal: muscle weakness, pain, joint stiffness, range
of motion, instability, redness, swelling, arthritis, gout. 12. Neurologic: loss of sensation, tingling, tremors,
weakness, paralysis, fainting, blackouts, seizures. 13. Heme: anemia, easy bruising/bleeding, petechiae, purpura,
transfusions 14. Endocrine: heat/cold intolerance, excessive
sweating, polyuria, polydipsia, polyphagia, thyroid, diabetes. 15. Psychiatric: mood, anxiety, depression, tension,
memory |
|
Physical Exam: |
1. Vitals: temperature, BP, HR, respirations, SaO2, height,
weight 2. General: sex, race, state of health, stature, development, dress,
hygiene, affect 3. Skin: scars, rashes, bruises, hair consistency, nail pitting,
stippling. 4. HEENT: size/shape of head, trauma?, pupil size, shape, and
reactivity, conjunctival injection, scleral icterus, fundal
papilledema/hemorrhage, extraocular movements, visual fields and acuity,
gross auditory acuity, nasal discharge and mucosa color, tonsilar
enlargement, moistness of mucous membranes, pharyngeal exudate. 5. Neck: masses, range of motion, tracheal deviation, thyroid size,
lymphadenopathy? 6. Breasts: skin changes, symmetry, tenderness, masses, dimpling,
discharge 7. Lungs: chest symmetry with respriations, wheezes, crackles,
fremitus, whispered pectoriloquy, percussion, diaphragmatic excursion,
egophony. 8. Heart: rate, rhythm, murmurs, rubs, gallops, clicks, precordial
movements. 9. Abdomen: shape, scars, bowel sounds, consistency (soft vs. firm),
tenderness, rebound, masses, guarding, spleen size, liver span, percussion
(tympany, shifting dullness), CVA tenderness. 10. GU: male – rashes, ulcers, scars, nodules, induration,
discharge, scrotal masses, hernias; female – external genitalia, vaginal
mucosa and cervix: look for inflammation, discharge, bleeding, ulcers,
nodules, masses, internal vaginal support, bimanual/rectovaginal palpation of
cervix, uterus, ovaries 11. Rectal: sphincter tone, prostate consistency and size, masses,
hemoccult. 12. Vascular: carotid, radial, femoral, popiliteal, posterior tibial,
dorsalis pedis pulses, carotid bruits, jugular venous distension, edema,
varicose veins. 13. Musculoskeletal: atrophy, weakness, joint range of
motion, instability, redness, swelling, tenderness, spine deviation, gait. 14. Neurologic: see “Neurology” for full neurologic
exam. |
|
Labs: |
Fluid balance, hematology,
urinalysis, coagulation panel, cultures, EKG, any imaging results, etc. |
|
Assessment/Plan: |
Differential
diagnosis – state each possibility and reasons for inclusion or exclusion
from history, physical, and lab results; medications to be started,
procedures and additional labs to be done, consults to be obtained, etc. |