Post-Acute Transfer Summary and Care Plan

Page 2

Post Acute Task Force

Attachment 4

Proposed Post Acute

Transfer Summary and Care Plan Form

Post-Acute Transfer Summary and Care Plan

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POST-ACUTE TRANSFER SUMMARY AND CARE PLAN

Part I – Transfer Summary

Patient’s Name ______

Admission date _____/_____/_____ Discharge date _____/_____/_____

1.  Hospital contact information:

Hospital ______Unit ______Phone ______

Attending ______PIC # ______Phone ______

Responsible intern or resident:

______PIC # ______Phone ______

2.  Primary discharge diagnoses from this hospitalization:

1. ______

2. ______

3. ______

3.  Surgical procedures during admission:

1. ______Date _____/_____/_____

2. ______Date _____/_____/_____

4.  Other procedures during admission (endoscopies, biopsies, etc.):

1. ______

2. ______

3. ______

5.  Vaccination(s) during hospitalization:

____ Influenza _____ Pneumococcal _____ Other (______)

6.  Complications (Please describe if present):

_____ Pressure ulcer

_____ Fall with injury

_____ Weight loss (> 10 lbs.)

_____ GI Bleed

_____ Resistant organisms If yes: ___ MRSA ___ VRE ___ Other (______)

_____ Other: ______

7.  Medication Allergies, Adverse Reactions

Allergies

Drug Reaction

1. ______

2. ______

3. ______

Adverse Reactions

Drug Reaction

1. ______

2. ______

3. ______

8.  Laboratory and other pertinent studies:

See Powerchart or attached copies

9.  Consultations during hospitalization:

Service Attending

1. ______

2. ______

3. ______

10.  Treatment decisions:

Were DNR, No Hospitalization or other treatment limiting orders discussed during admission?

___ Yes ___ No

If yes, orders decided: ___ DNR ___ No hospitalization ___ No enteral feeding

Other (describe______)

11.  Follow-up:

Appointments Scheduled Date and time

1. ______

2. ______

Test/Procedures recommended:

1.  ______

2.  ______

April 2003 Continued

Post-Acute Transfer Summary and Care Plan

Page 4

POST-ACUTE TRANSFER SUMMARY AND CARE PLAN

Part II – Post Acute Care Plan

Patient’s Name ______Transfer Date _____/_____/_____

1.  Admit to (circle):

Subacute (Medicare Skilled)

AG Rhodes Budd Terrace Other ______

Acute Rehab

CRM Wesley Woods

Long Term Acute

Wesley Woods Other ______

Nursing Facility

AG Rhodes Budd Terrace Other ______

2.  Advance Directives:

____ DPA ____ Living Will ____ None

Treatment Decisions

____ Full code ____ DNR ____ No hospitalization ____ No enteral feeding

____ Other (specify ______)

3.  Vital Signs/Monitoring:

TPR q ______O2 sat q ______

Weigh q ______

Telemetry: ____ No ____ Yes (Indication ______)

4.  Activity:

____ Supervised transfer/ambulation

____ Up ad lib

____ Bed rest

5.  Precautions:

____ Non-weight bearing

____ Partial weight bearing

____ Weight bearing as tolerated

____ Fall precautions

____ Swallowing/aspiration precautions

____ Seizure precautions

____ Other (specify ______)

6.  Dieting/Feedings:

______

______

______

7.  Devices:

____ Foley catheter

If present, indicate primary reason:

___ Monitor output ___ Retention (due to ______)

___ Skin precautions ___ Other

____ NG tube

____ Enteral feeding tube

____ PICC line (central)

____ Midline PIC

____ Protective device (specify ______)

____ Other (specify ______)

8.  Assessments/Consults:

Rehab Therapies

____ PT ____ OT ____ Speech

Rehab Potential: ____ Good ____ Fair ____ Poor

Rehab Goals: ______

______

Others

____ Respiratory

____ Nutrition

____ Other (specify ______)

9.  Wound Care:

______

10.  Respiratory Care:

O2 supplementation: ______

Ventilator orders:

FiO2 _____ Rate _____

Mode _____ PEEP _____

Other ______

April 2003 Continued

Post-Acute Transfer Summary and Care Plan

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11.  Medications

Routine:

a.  Antibiotics Stop Date

1. ______/____/____

2. ______/____/____

3. ______/____/____

b.  DVT prophylaxis/Anticoagulation

1. ______

2. ______

c.  GI protection

1. ______

2. ______

Reason: ____ Stress ulcer prophylaxis ____ History of GI bleed

____ Symptomatic GERD ____ Other ______

d.  Other routine medications:

1. ______

2. ______

3. ______

4. ______

5. ______

6. ______

7. ______

8. ______

9. ______

10. ______

PRNs:

a.  Pain:

1. ______

2. ______

b.  Constipation:

1. ______

2. ______

c.  Indigestion:

1. ______

d.  Other

1. ______

2. ______

3. ______

12.  Other recommendations:

Signatures:

Acute Hospital Receiving Facility

Physician ______Physician ______

PIC # ______Date ______/______/______

Nurse ______Nurse ______

PIC # ______Date ______/______/______

April 2003