Getting Report Over Phone For New Admit To LTC Facility

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I was looking for a general sheet or questionnaire used for getting report from hospital or facility on a new admit into a ltc facility, but I can't find one anywhere. Do anybody have a list of questions I should ask or info I should get?

TheCommuter, BSN, RN

228 Articles; 27,608 Posts

Specializes in Case mgmt., rehab, (CRRN), LTC & psych. Has 17 years experience.

A basic hand-off from hospital to LTC should include the patient's name, age, gender, admitting diagnosis, pertinent medical history, wounds or incisions, diet, bowel & bladder continence, and level of ADL assistance (minimal, moderate, total assist, etc.).

It should also include any allergies, lines (IV lines, urinary catheters, ports, etc.)., ostomies, oxygen dependence, last set of vital signs, cognition status, locomotion (ambulatory, wheelchair, etc.)., and time the last pain medication was given.

Other useful information: unusual family dynamics, aberrant patient behaviors, and weight bearing status.

Mhays

190 Posts

Hello, my name is Marcy and I live in Virginia. In every facility, there should be a book with sheets in it about how to do a report about a new admit from another facility. If you cannot find it, I would ask the charge nurse and see where he or she has it located. Sometimes, they might have it somewhere in a book that is not easy to find. The general questions that are important are name of patient, date of new admit, age of patient, gender of patient, general history of patient, their lab work, their medication history, and why they were admitted. Another category is a specialized category for any specific treatments that they had. That is the general list of doing a new admit. I wish you the best of luck and hope that you can find what you are looking for. I do though hope that this information that I typed was helpful to you. Thank you. Marcy

TheCommuter, BSN, RN

228 Articles; 27,608 Posts

Specializes in Case mgmt., rehab, (CRRN), LTC & psych. Has 17 years experience.
In every facility, there should be a book with sheets in it about how to do a report about a new admit from another facility. If you cannot find it, I would ask the charge nurse and see where he or she has it located.
Not all LTC facilities have books or standard forms on how to take report.

Out of the multiple LTC facilities where I've worked in the recent past, only one place had a policy and form on the way to accept report.