- Chart review
- Records outside the hospital
- Records inside the hospital
- Medication review
- Check patient’s prescription history
- Update patient’s home medication list
- Move to Admission Reconciliation
- Perform the history and physical
- History
- Chief complaint and past medical history
- Review of systems, family history, social history
- Verify medication list and allergies
- Verify patient’s preferred pharmacy
- Verify primary care provider with contact information
- Identify family member(s) for communication
- Identify patient’s advance care directive
- Physical
- Notify the patient’s primary care provider
- Enter orders
- Call consults (if applicable)
- Complete documentation
- Update sign-out
- Complete billing
