Remember important communication details in your sign-out note
Hospitalist Leadership Connection, December 16, 2008
Establishing protocols and policies of communication is the most effective approach to managing communication among all caregivers, including hospitalists, PCPs, nursing staff members, case managers, social services, therapists, dietitians, and pharmacists.
This information exchange occurs at morning and nighttime checkout and via daily progress notes. An off-service note should be generated at the time a new hospitalist attending physician assumes care of the patient. The off-service note typically includes a “SOAP” (Subjective, Objective, Assessment, Plan) note, and more detailed information such as:
- Current medications
- Diet
- A list of pending studies
- Ongoing treatment services
- Discharge planning to date (documenting continued acuity)
- Resuscitation status
- A family spokesperson with contact number
- Primary care physician
The above excerpt is adapted from The Hospitalist Program Management Guide 2nd edition by Kenneth G. Simone, DO, and Jeffrey R. Dichter, MD, FACP, published by HCPro, Inc.
Comments
0 comments on “Remember important communication details in your sign-out note ”
Related Products
-
Medical Staff Briefing
This monthly resource acts as a support system by providing time-saving tools, expert advice, and analyses to help you...
-
Medical Staff Leader Connection
Subscribe to our weekly e-mail newsletter for medical staff leaders that provides them encouragement, tips, tools, and...
-
Tools and Strategies for an Effective Hospitalist Program
A complete soup-to-nuts guide, this book and CD-ROM set provides proven forms, schedules, and tools you need to effectively...
-
The Hospitalist Program Management Guide, Second Edition
Challenged to build and manage a hospitalist program? Overcome the challenge with the latest hospitalist program management...
-
The Surgical Hospitalist Program Management Guide:
The Surgical Hospitalist Program Management Guide: Tools and Strategies for Executives and Physicians is a first-of-its-kind...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- Capturing all necessary codes for IUD insertion and removal can be challenging
- News and briefs: Oklahoma Osteopathic Association against residency bill change
- QA:Coding multiple initial infusions
- OB services: Coding inside and outside of the package
- HIPAA Q&A: Level of encryption needed for email
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Q&A tackles coding questions about injections and infusions
- Joint Commission Center announces handoff communication solutions
- Inside best practice: Reduce patient falls with a stoplight
- Identify modifiable risk factors to prevent patient falls
- Hospitalist-surgeon comanagement has no effect on outcomes
- Case Management Monthly, June 2012
- Searched