Patient Sign-out - what's on your card?

[croire]

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Hey - for those of you lucky enough to be in an institution that advocates standardized sign-out cards, please post a reply!

What's your card look like - index card or other? And more importantly, I need to find out what exactly you include (particularly the format).

Please reply - and thanks for your help! Hope your intern year is going as well as mine!

 

[Jolina]

We have a system that we have to update daily and we print our sign-outs. Usually 2-3 pages.
The sign-out has Name, Room Nr, Medical Record Nr, Allergies, Primary Attending, DOB, Short HPI and what has been done for the patient since admission, Current meds, and To Do list for the float.

 

[fantasty]

We have a system that we have to update daily and we print our sign-outs. Usually 2-3 pages.
The sign-out has Name, Room Nr, Medical Record Nr, Allergies, Primary Attending, DOB, Short HPI and what has been done for the patient since admission, Current meds, and To Do list for the float.

Roughly the same thing here. Our sign-out is a "tool" within our electronic system that prints like a spreadsheet. The ID stuff and allergies are automatically populated. The HPI and current plan are in the cell. The "to-do" list is a separate cell, and there is a "shift notes" area for the float to update the primary team what happened overnight.

 

[strangeglove]

Roughly the same thing here. Our sign-out is a "tool" within our electronic system that prints like a spreadsheet. The ID stuff and allergies are automatically populated. The HPI and current plan are in the cell. The "to-do" list is a separate cell, and there is a "shift notes" area for the float to update the primary team what happened overnight.

You might include things like current medications with dosages, as well as medicines that have been discontinued; whether the patient has an IV and, if it comes out for whatever reason, whether another one needs to be placed. If the patient has had a recent echo, the EF is useful if you need to administer fluids. Also, DNR/DNI status can be pretty handy, too.