Published May 8, 2005
What do you think if patients brought in medical history forms with them when they went to the er? good? bad? and if you like it what sort of information would you like on it?
UM Review RN, ASN, RN
Our computer system is set up so that we can't enter any orders for any patient unless the patient's height, weight, and allergies are entered first.
Many of our patients come from nursing homes, and while we get a good idea of their meds from the MAR, and sometimes a brief Hx listed at the bottom of that, I sure do wish we could have the height, weight and allergies listed somewhere.
You see...I am not a nurse yet but I am about to turn 18 in september i have medical problems (minor) and am trying to compile a medical history for myself.
height, weight, age, medical problems, medications (name and dosage), allergies are all good things to include
zambezi, BSN, RN
If it were preprinted, I would want:
code status if applicable
contact number for spouse/parents/SO (just someone that we can give/get information from if necessary)
medications (names, doseages)
any pertinent medical history:
(diabetes/cancer/heart probs/ autoimmune/anything else that is pertinant to your history)
Nurse Ratched, RN
How about just ask your family doctor for one of their preprinted health history forms? Then you don't have to reinvent the wheel :).
never thought of that thanks
I'd love it if everyone who came into emergency with a good list of their meds and dosages, allergies, and history. Especially those from nursing homes when the patients have dementia.
It also helps, if they come from a nursing home, to have a little note stating whether the patient's LOC is normal for them or not. Especially after a fall. It's very frustrating not knowing if their state of altered mental status could have been caused by injury or disease. It could save a lot of time and testing to know.
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