How to Admit
Perfecting patient history, psychical exam and coming up with a plan will take some time, reading, and a lot of experience and that can't be taught on this one website page. The purpose of this page is providing the step of admitting a patient through EPIC.
All admissions should be completed through the Admission Navigator on Epic. By doing everything through here, you can easily keep track of all the orders and also help out your future self once it’s time for the patient to go home.
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Click the Admission tab while in your patient’s chart to enter the Admission Navigator.
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On the left sidebar, select Med Rec-Sign Hold to open all admission orders
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You are now in the admission orders section, which opens by default on the Review Current Orders subsection where you can continue/discontinue any orders currently active for the patient. Once you are done click Next to save your work and move on to the next step.
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In the Review Home Medications tab you can review all of the patient’s medications – what medications they’re taking and the date it was last taken.
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If you cannot confirm medications with patient please confirm with PCP or pharmacy
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Add new medications by clicking “Add” next to the text box
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Make sure to click Mark as Reviewed in the bottom left hand corner to save your work before clicking Next.
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In the Reconcile Home Medications tab, choose which of your patient’s home medications you would like to re-order for the admission.
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In the Order Sets tab, you can finally enter any other orders you need
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For all basic admission orders, type “Gen admit” which will take you to the general adult admission order set. This has everything you’ll need to admit someone – VS frequency, code status, diet, PT/OT, etc
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This is also a good time to order any morning labs so you can hit the ground running!
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Click Sign and all of your orders will be there.