admission assessments...

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Specializes in OB, Med-Surg.

Just wondering how the admission process works for the rest of you. When we get a new admission we have a ton of things to fill out. Of course there is the physical assessment, the history assessment, the high risk screen, and an education / teaching assessment. Then there is the careplan, the worklist, the home med reconciliation page, the DVT sheet, the pneumonia and flu assessments. We have to get into a thing called touch chart to retreive old charts ( doctors are not fond of this ). There is PACS for xray reports. Hms for orders for labs, diet, etc.. Meds ordered go into the EMAR. I feel like I spend most of my time staring at a computer screen instead of being with my patients. Anybody else feel that way?

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Specializes in ICU, ER, EP,.

we also have a skin protocol sheet, iv sheet and care map sheets.

whew!

but... several nurses jump in and help tackle the paperwork, get admit labs... while the primary can assess... look at orders focus on meds and treatments.. then chart the routine stuff.

Very few areas in my hospital have this great teamwork and it really helps. Don't have this type of help?... Jump in others rooms and just start it... saying.. hey return the favor on my next admit. A complex admit is 15 minutes max. now.

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Specializes in Emergency.
we also have a skin protocol sheet, iv sheet and care map sheets.

whew!

but... several nurses jump in and help tackle the paperwork, get admit labs... while the primary can assess... look at orders focus on meds and treatments.. then chart the routine stuff.

Very few areas in my hospital have this great teamwork and it really helps. Don't have this type of help?... Jump in others rooms and just start it... saying.. hey return the favor on my next admit. A complex admit is 15 minutes max. now.

What a wonderful place this must be to work!

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Our admits aren't too bad in my unit. We can have a SICK admit done in about 20-25 minutes and one that's not sick in 10-15. Everybody on the hall generally comes and helps you: hook up to monitor, change out IV tubing to ours, redress anything that needs to be done, draw labs, get your drips going. The primary does their assessment and calls it out and somebody else charts it. We're definitely a team on night shift in my unit.

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Let's hear it for JCAHO!

:anpom:

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