Internal Medicine Admission Template (Printable Worksheet)
Internal Medicine Admission Template
The Internal Medicine Admission Template by FALCONNOTES is based on the Online MedEd Patient Data Miner. It helps medical students, residents, and house staff stay organized in the process of admitting a patient to the hospital floors.
Consistency → Clarity → Safety
Admitting a patient to the hospital can get complex and time-consuming. Not doing so effectively can have devastating consequences for the patient. The key to staying efficient and effective is consistency. Having a consistent work flow, consistently collecting the right information, and consistently having all the information ready as you place your orders and write your admission note. This is where the Internal Medicine Admission Template comes in.
☝️ The One Pager
Designed to fit on your whitecoat clipboard, the one-pager is created to have just enough space to collect all the information you need and helps you stay organized as you admit the patient.
Important Sections
The template is divided into sections for quick documentation and reference. There is a section for Patient information, Past Medical History, Home medications, Social History, HPI, ED course, Previous History, Labs, Images, and a section for your assessment and plan.
Highlights
The template also has key management reminders such as Medicine reconciliation, DVT Prophylaxis, and Diet orders.
⚡ Pro Tip: As you chart review the patient prior to seeing them, develop your assessment list in the process. This helps you come up with a plan/order list to investigate problems, abnormal labs and imaging, and chief complaints.
✌️ The Two-Pager
Designed to be printed double-sided, the Two-pager PDF template helps you with the patient admission process along with daily tracking.
It includes all the features of the one-pager, and additionally has a second page to track the patient from day-to-day.
Daily Patient Tracking
The daily patient tracker page has three sections to help you stay organized throughout your day.
Column 1: Active Med List
A continuous left-sided column to track the patient’s inpatient medications is organized by specialty to help you quickly document medication changes and have an active running list.
Column 2: Daily Updates
This section is designed to track daily subjective and objective findings as well as updates from ancillary services and consults. Use this section while you pre-round and chart-review in the morning.
Column 3: Daily Tasks
This section is designed to have a list of to-do items for the day. This can be action items related to medical management, discharge planning, and request for ancillary services. Use this section after you round on the patient.
The FALCONNOTES Promise
By downloading our template, you earn yourself once-monthly live meeting with the creators of this template, the founders of FALCONNOTES, in order to ask questions, learn how to use the template, and become an expert hospitalist.