When i get a new admission, transfer i always start off with recieving the patient from ER, ICU, PACU, etc, then write observations about IVF, foley,LOC,any dressings, drains, skin condition, decubs or breakdown areas. Things like that. Dont know why you couldnt write that you recieved patient to the unit, if they werent on your unit they had to be someplace else first right? We dont necissarily get a formal report from ER, or fast track or another unit the patient has come from always. Documenting that "patient arrived from Dr. so&so's office as direct admit to room blah blah. Observations. Will call office for further orders". Then go back and document orders recieved from dr's office. Documenting patient recieved from ICU, or ER, or OP via stretcher or wheelchair, dont know what makes the difference.
I dont see the problem.