{"id":3038,"date":"2025-01-19T00:34:22","date_gmt":"2025-01-19T00:34:22","guid":{"rendered":"https:\/\/nursehowie.net\/?p=3038"},"modified":"2025-01-24T18:26:52","modified_gmt":"2025-01-24T18:26:52","slug":"3038","status":"publish","type":"post","link":"https:\/\/nursehowie.net\/?p=3038","title":{"rendered":"EPIC: ED Transfer Note"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">ED Admit to Inpatient Rm<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-a33b9e7f\"><h2 class=\"uagb-heading-text\">EPIC: ED: TRANSFER NOTE<\/h2><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">ATT: @ATTPROV@<br>PCP: @PCP@<br>@NAME@ @AGE@(@BDAY@)<br>@DEPTNME@<br>@RRHLOS@<br>MRN: @MRN@<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Current attending in ED: @ATTPHY@<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">SYNOPSIS<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">@NAME@ is a @AGE@ @SEX@ ***<br>@NOTESUMMARIES(1&amp;0&amp;0)@<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">{SNP Linked Labs:23727}<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Admitted for<br>@PROBLEM@<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">@PROB@<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">NURSING HANDOFF<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Plan: Pending workup\/admit . All questions answered to the patient&#8217;s satisfaction. All personal belongings were with the patient including all electronics, clothing, and valuables. Pt sent w\/medical paperwork. Charge RN aware.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">DISPO: NAD, VSS<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">BELONGINGS: clothing and cell phone<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">REPORT GIVEN TO: RN<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">TRANSPORTATION: gurney via tech<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">DESTINATION: tbd<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ASSESSMENT<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">NOTES ENDORSED TO RECEIVING NURSE:<br>\u2022<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">NEURO:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Aoxo4<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">RESPIRATORY:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>No SOB<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">CARDIAC:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>NSR<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">GI:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>swallows pills ok<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">{SNP Linked Labs:23727}<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">@DIETORD@<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">GU:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>uses urinal<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">SKIN:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>normal<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">FAMILY:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>at bedside<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">VITALS<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">VITALS<br>24 Hour Min \/ Max Current<br>@FLOWSTAT(6:24::1)@ @FLOW(6:last:1)@<br>@FLOWSTAT(5:24::1)@ @FLOW(5:last:1)@<br>@FLOWSTAT(8:24::1)@ @FLOW(8:last:1)@<br>@FLOWSTAT(9:24::1)@ @FLOW(9:last:1)@<br>@FLOWSTAT(10:24::1)@ @FLOW(10:last:1)@<br>Admit: @FLOW(14:first:1)@ @FLOW(14:last:1)@ @BMI@<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">LAST VS:<br>@VS@<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">LABS<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">@LABBRIEF(NA,CL,BUN,K,CO2,CREATININE,GLUCOSE)@<br>@LABBRIEF(WBC,HGB,HCT,PLATELETS)@<br>@LABBRIEF(PT,INR,APTT)@<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">@LABBRIEF(CA,MG,PHOS)@<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">@LABBRIEF(ALB,LACTICACID,LACTWBVENPC,TROPONINHS,HGBA1C)@<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">@LABRCNT24(POCGLUCOSE:*)@<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">DRIPS<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ICU DRIPS &amp; CONTINUOUS IV\u2019s<br>LINES:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PIVs<br>\u2022<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IMAGING<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">@IMAGERESULTS48H@<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">NURSING PLAN<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Maintenance Tasks<br>-add\/maintain PIVs, check need for CVC\/Foley<br>-monitor electrolytes<br>-strict I\/o when ordered<br>-neuro checks periodically<br>-monitor HGB; check s\/s bleeding<br>-ensure airway trach patency<br>-elevate arms, if app<br>-d\/w attending pt status<br>-turned pt q2h<br>-fall risk observed<br>-wound care\/prevention as necessary<br>-skin checks q shift w\/RN 4 eyes verification<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Report given to oncoming RN, , at transfer, who then assumed all care.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Howie Realubit, BSN, RN, CCRN<br>Electronic Signature<br>@TD@ @NOW@<\/p>\n","protected":false},"excerpt":{"rendered":"<p>ED Admit to Inpatient Rm EPIC: ED: TRANSFER NOTE ATT: @ATTPROV@PCP: @PCP@@NAME@ @AGE@(@BDAY@)@DEPTNME@@RRHLOS@MRN: @MRN@ Current attending in ED: @ATTPHY@ SYNOPSIS @NAME@ is a @AGE@ @SEX@ ***@NOTESUMMARIES(1&amp;0&amp;0)@ {SNP Linked Labs:23727} Admitted for@PROBLEM@ @PROB@ NURSING HANDOFF Plan: Pending workup\/admit . All questions answered to the patient&#8217;s satisfaction. All personal belongings were with the patient including all electronics,&hellip;<\/p>\n","protected":false},"author":1,"featured_media":3023,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3038","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.8 - aioseo.com -->\n\t<meta name=\"description\" content=\"ED Admit to Inpatient Rm EPIC: ED: TRANSFER NOTE ATT: @ATTPROV@PCP: @PCP@@NAME@ @AGE@(@BDAY@)@DEPTNME@@RRHLOS@MRN: @MRN@ Current attending in ED: @ATTPHY@ SYNOPSIS @NAME@ is a @AGE@ @SEX@ ***@NOTESUMMARIES(1&amp;0&amp;0)@ {SNP Linked Labs:23727} Admitted for@PROBLEM@ @PROB@ NURSING HANDOFF Plan: Pending workup\/admit . 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