Intern Pocket Cards - Daily Rounding and Disposition Checklist
Daily Checklist:
• FEN/GI:
Indications for NPO
[ ] Upcoming procedure
[ ] PET scan (also avoid dextrose-containing fluids – review all IV meds)
[ ] Concern for aspiration of all PO intake (including medications)
[ ] Avoid caffeine prior to regadenoson stress testinga
[ ] IV fluids (always put end-time/total amount and review daily)
• DVT prophylaxis
[ ] SCDs
[ ] Enoxaparin subQ if CrCl >30 (hold 24 hours before most procedures)
[ ] Heparin subQ if CrCl <30 (hold 6 hours before most procedures)
[ ] Contraindications: active bleeding, low platelet count, upcoming procedures
• Stress ulcer prophylaxis
Indications (for critically ill patients)
[ ] On mechanical ventilator for >48 hours
[ ] Coagulopathy (INR >1.5, plt <50)
[ ] High-dose/chronic steroid or NSAID use
[ ] Recent GI bleed
• Code status - Options include: Full, DNR/never intubate, DNR/okay to intubate, compressions okay/never intubate
Disposition Checklist:
[ ] Update family/DPOA on status of patient
[ ] Fill out/update POLST form (if indicated)
[ ] Post-hospitalization living situation
[ ] Insurance for meds (prior authorization) and nursing homes
[ ] Post-discharge transportation
[ ] Equipment at home for safety/function
[ ] Outpatient referrals and appointments
[ ] Consider need for prescriptions (new medications, refills)
[ ] Discharge medication education
[ ] Discharge summary (include pending inpatient labs that require outpatient follow-up)
[ ] Outpatient labs if needed
[ ] Handoff communication to accepting provider (PCP, SNFist, etc.)
Dr. Satya Patel @SatyaPatelMD
Full Inpatient Pocket Cards Collection: https://bit.ly/pocketcardset
#Daily #Rounding #Disposition #Checklist #management #inpatient #internship
