Intern Pocket Cards - Daily Rounding and Disposition ...
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Intern Pocket Cards - Daily Rounding and Disposition Checklist

Daily Checklist:

 • FEN/GI:

     Indications for NPO

     [ ] Upcoming procedure

     [ ] PET scan (also avoid dextrose-containing fluids – review all IV meds)

     [ ] Concern for aspiration of all PO intake (including medications)

     [ ] Avoid caffeine prior to regadenoson stress testinga

     [ ] IV fluids (always put end-time/total amount and review daily)

 • DVT prophylaxis

     [ ] SCDs

     [ ] Enoxaparin subQ if CrCl >30 (hold 24 hours before most procedures)

     [ ] Heparin subQ if CrCl <30 (hold 6 hours before most procedures)

     [ ] Contraindications: active bleeding, low platelet count, upcoming procedures

 • Stress ulcer prophylaxis

     Indications (for critically ill patients)

     [ ] On mechanical ventilator for >48 hours

     [ ] Coagulopathy (INR >1.5, plt <50)

     [ ] High-dose/chronic steroid or NSAID use

     [ ] Recent GI bleed

 • Code status - Options include: Full, DNR/never intubate, DNR/okay to intubate, compressions okay/never intubate

Disposition Checklist:

 [ ] Update family/DPOA on status of patient

 [ ] Fill out/update POLST form (if indicated)

 [ ] Post-hospitalization living situation

 [ ] Insurance for meds (prior authorization) and nursing homes

 [ ] Post-discharge transportation

 [ ] Equipment at home for safety/function

 [ ] Outpatient referrals and appointments

 [ ] Consider need for prescriptions (new medications, refills)

 [ ] Discharge medication education

 [ ] Discharge summary (include pending inpatient labs that require outpatient follow-up)

 [ ] Outpatient labs if needed

 [ ] Handoff communication to accepting provider (PCP, SNFist, etc.)



Dr. Satya Patel @SatyaPatelMD

Full Inpatient Pocket Cards Collection: https://bit.ly/pocketcardset



#Daily #Rounding #Disposition #Checklist #management #inpatient #internship
Contributed by

Dr. Satya Patel
@SatyaPatelMD
https://twitter.com/SatyaPatelMD | Hospitalist  @LosAngelesVA | Anesthesiology Intern APD @UCLAHealth | Interested in medical education, curriculum design, and QI | https://bit.ly/pocketcardset
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