boarder patient documentation
TRANSCRIPT
Boarder Patient Daily Charting
About the Boarder Patient Daily Chart
• Goal: to provide more complete care for patients boarding in the ED at Children’s Hospitals
• Serves as a tool for providers and nurses to ensure all cares are completed for boarder patients
• Reduce occurrence missed medications and meals
• Reminder for vitals q4h
• Work towards meeting goals for discharge
• Begin a new daily chart each day of boarding beginning at 00:00
•Patient Information
•Begin by filling in patient’s full name and MRN
•Notify Child Life of boarder patient in ED
•Reduce anxiety for patient and family
•Provide entertainment & reduce boredom
•Happy child = Happy parents
•Contact Information
•Establish an ordering provider
•If social work is needed, record social worker’s name in this section
•Obtain parent/guardian’s name and relationship to the patient
•Place parent/guardian’s phone number here for easy access
•Scheduled Medications
•All medications ordered and given to the patient will be charted here
•Fill in all spaces completely including the time the medication was ordered to be given and the time the medication was given with initials
•If the patient is receiving maintenance fluids, fill in the type of fluid, the rate, and start and end times
•Vitals
•Take a full set of vitals every 4 hours beginning at 00:00
•Record what the patient was doing during vitals under ‘Pt Activity’
•Meal and Fluid Intake
•Complete ‘Diet Ordered’ section to reduce confusion for oncoming staff
•Fill in the time with percentage of meals eaten and the amount of fluid intake.
•Care Plan
•Patients should work towards discharge beginning at the time of admission
•Determine the criteria the patient will need to meet to be discharged.
•When goals are met, discharge will come shortly after
