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Npatient unit: 2. Diagnosis: 3. Observations: (check one) Q 15 minutes x 24 hrs. 4. Vital signs: (check one) Daily BID 5. If Diabetic: ( check all applicable) Camera QID 1:1 Other: Glycemic Control Protocol 6. Diet: (check one) 7. Admit Labs: 8. Radiology: Regular Calorie Controlled General Healthful Other: CBC w/diff UDS 9. CMP TSH Urinaly.
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Dominic FAQ
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To remember the order of taxa in biology (Domain, Kingdom, Phylum, Class, Order, Family, Genus, Species, [Variety]): "Dear King Philip Came Over For Good Soup" is often cited as a non-vulgar method for teaching students to memorize the taxonomic classification of system.
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The admission order is evidence of the decision by the physician (or other practitioner who can order inpatient services) to admit the beneficiary to inpatient status.
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The order of clauses MUST always be as below. The mnemonic I learned to help me remember the order is Some French Waiters Grow Healthy Oranges & Lemons. It is kind of weird and takes a few tries to memorize but it works for me!
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In some hospitals, the admitting physician writes or verbally dictates admitting orders immediately after accepting the patient from the emergency clinicians. This provides a very clear demarcation of patient responsibility and is consistent with distinctions in inpatient vs. outpatient medical staff privileges.
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It involves the mnemonic A.A.D.C. VAAN DISSL, which stands for Admit/Attending, Diagnosis, Condition, Vitals, Activity, Allergies, Nursing procedures, Diet, Ins and outs, Specific medications, Symptomatic medications, and Labs. Diagnosis: List admitting diagnosis or procedure if postop orders.
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For example, music students use "Every Good Boy Does Fine" to remember the order of notes on the treble clef. (E, G, B, D, F). Math students use "Please Excuse My Dear Aunt Sally" to remember the order of arithmetic operations (Parentheses, Exponent, Multiply, Divide, Add, Subtract.).
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Past Psychiatric History: If this is an initial visit, provide a brief overview of the patient's psychiatric background, including previous diagnoses, treatments, hospitalizations, family history, and responses to past treatments. This does not need to be included in follow-up notes unless pertinent.
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The Nursing Process - A Delicious PIE To help Frank recover, you make a nursing care plan. This plan outlines your care for Frank. The steps in your nursing care plan may be remembered with the mnemonic ADPIE.
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