Guided Notes

Inpatient & Nursing Workflows

Admission to discharge on a hospital unit — admission navigator, nursing assessments and flowsheets, care plans, handoffs, rounds, med passes, early warning scores and discharge planning.

Admission

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• ADT admit event assigns the unit and bed. • Provider: admission H&P, admission order set, med reconciliation of home meds. • Nursing admission navigator: history, allergies, home meds, baseline assessments (skin, falls, nutrition, functional status), screenings (suicide risk, abuse, sepsis), patient preferences, advance directives, belongings. • Pharmacy verifies orders; lab and imaging orders flow out; diet order goes to food services.

← Ambulatory (Clinic) Workflow