Admission

  1. Chart review
    • Records outside the hospital
    • Records inside the hospital
  2. Medication review
    • Check patient’s prescription history
    • Update patient’s home medication list
    • Move to Admission Reconciliation
  3. 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
  4. Notify the patient’s primary care provider
  5. Enter orders
  6. Call consults (if applicable)
  7. Complete documentation
  8. Update sign-out
  9. Complete billing