Forms Progress/Tracking/Admit Notes

[Dr Alo]

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Hi guys,
I found these forms helpful. My classmates and I designed them, and I just wanted to share them.

http://www.thealo.com/free-patient-track-medical-forms.htm

New Admit Note: Formatted in the proper order so that you can quickly use it to, not only admit and track your patient, but also do an oral report on rounds in the proper order and format.

Daily Progress Note: Formatted to be able to track patients as well as make brilliant oral presentations on rounds.

Just click on the website above and download these two PDF files.

Feedback and critique is always welcome to help improve these forms. I realize there are a few on medfools.com, but they are in a different format, and are designed for patient tracking, not oral reports.

Thanks,

 

[Zummy]

Awesome- thanks!! 🙂

 

[Jaded Soul]

This is a good effort you've put in. One question on the shorthand where you're have Ca, P, Albumin, etc. Is that actual shorthand, or did you make it up? I remember something similar used by the surgeons at my hospital, but can't remember if this is it or not.

This next part isn't a slight against you, so I apologize if it comes across that way...

I'm wondering how many people use these types of sheets to re-write the history and physical? I never got on-board with these kinds of aids because seems like more work. When I present, I just refer to my H&P form, admit note, consult note, or whatever I had to write for the chart. Then I keep a copy with me. My hospital has flowsheets for the labs, too, which I just take out of the chart and hold on to during rounds. If you do use worksheets like this to track your patients, do you find that it really helps, or does it take more time to fill out more paperwork? Maybe I'm missing something and I should start doing it?

 

[Dr Alo]

This is a good effort you've put in. One question on the shorthand where you're have Ca, P, Albumin, etc. Is that actual shorthand, or did you make it up? I remember something similar used by the surgeons at my hospital, but can't remember if this is it or not.

That was in a book and some handouts we were given. The one with the INR, PT, PTT I made up myself and it is being used at some hospitals that our students go to.

This next part isn't a slight against you, so I apologize if it comes across that way...

I'm wondering how many people use these types of sheets to re-write the history and physical? I never got on-board with these kinds of aids because seems like more work. When I present, I just refer to my H&P form, admit note, consult note, or whatever I had to write for the chart. Then I keep a copy with me. My hospital has flowsheets for the labs, too, which I just take out of the chart and hold on to during rounds. If you do use worksheets like this to track your patients, do you find that it really helps, or does it take more time to fill out more paperwork? Maybe I'm missing something and I should start doing it?

Unfortunately, if you have an attending that is a stickler about what order your presentations have to go in, then the second (soap) form comes in handy. However, usually just the admit note is fine.

Yes, it is more paperwork, and sometimes you never have enough time to do all of this. Unfortunately, I have not found an easier way to deal with our pretty picky system of doing presentations.

If anyone has links to better or easier forms, please let us know.

 

[Stinger86]

At our hospital, the "3-way" shorthand you use for the PT, PTT, and INR, we actually use for the P04, Mg, and Ca. I wonder if any of these shorthands (other than the CBC and electrolyte panel) are standardized across hospitals

 

[Dr Alo]

Just added another form for patient tracking from admit, to daily tracking. This one eliminates the need for redundant or multiple tracking sheets. Take a look at the one called Patient Tracker.

http://www.thealo.com/free-patient-track-medical-forms.htm

Enjoy!

Keep sending feedback, it's helping to develop new sheets and new designs. This latest one incorporated some advice and feedback I received.