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    Rounding in The RACC Page 2

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    Scott Mayer
    The document provides a template for assessing a patient by system and developing an assessment and plan. It includes sections to summarize the patient's history, review pertinent exam findings and labs by system, and provide a bulleted list following the FAST HUGS guidelines to avoid missed care issues. Key areas to address include the patient's neurological status, cardiac function, pulmonary status, renal function and electrolytes, gastrointestinal status, hematology, infectious disease status, and disposition.

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    Rounding in The RACC Page 2

    Uploaded by

    Scott Mayer
    23 views1 page
    The document provides a template for assessing a patient by system and developing an assessment and plan. It includes sections to summarize the patient's history, review pertinent exam findings and labs by system, and provide a bulleted list following the FAST HUGS guidelines to avoid missed care issues. Key areas to address include the patient's neurological status, cardiac function, pulmonary status, renal function and electrolytes, gastrointestinal status, hematology, infectious disease status, and disposition.

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    Rounding in the RACC Page 2(2)

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    The document provides a template for assessing a patient by system and developing an assessment and plan. It includes sections to summarize the patient's history, review pertinent exam findings and labs by system, and provide a bulleted list following the FAST HUGS guidelines to avoid missed care issues. Key areas to address include the patient's neurological status, cardiac function, pulmonary status, renal function and electrolytes, gastrointestinal status, hematology, infectious disease status, and disposition.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    23 views1 page

    Rounding in The RACC Page 2

    Uploaded by

    Scott Mayer
    The document provides a template for assessing a patient by system and developing an assessment and plan. It includes sections to summarize the patient's history, review pertinent exam findings and labs by system, and provide a bulleted list following the FAST HUGS guidelines to avoid missed care issues. Key areas to address include the patient's neurological status, cardiac function, pulmonary status, renal function and electrolytes, gastrointestinal status, hematology, infectious disease status, and disposition.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    1.

    Summarize Why the patient is here


    2. Discuss Pertinent PMH/PSH/MEDs
    3. Assessment and Plan by System (discuss pertinent exam findings and labs in each system as well) and
    FAST HUGS Bullets

    BY SYSTEM Endocrinology
     Sugar
    Neuro
     Stress Dose Steroids (ask if pt has been on steroids in past 3 months)
     Neurological Issues / Review Neuro Imaging
     Can this be an Endocrine Issue, Thyroid?
     Analgesia/Sedation/Delirium (RASS Scale)
    Trauma/Orthopedics
    Cardiovascular (CV)
     Injury List
     ECHO
     Clear Collar or Replace with Philly
     Cardiac Function
     Lactate/ScvO2
     Vasopressors/Inotropes/Vasodilators FAST HUGS IN BED Please
    Pulmonary A bulleted approach to avoid missing iatrogenesis/less than ideal
    care
     Vent Settings
     Blood Gases & Chest Radiograph
     Pulm Toilet
    □ Fluid Therapy
    □ Analgesia
    Renal/Electrolytes □ Sedation, if intubated
     Urine Output and I/Os □ Thromboprophylaxis
     Acid/Base Status (Review Gases for Acid/Base) □ Head-Up Position (30 degrees) if intubated
     Chemistries □ Ulcer Prophylaxis
     Fluids Administered □ Glucose control
     HD Issues □ Skin/Eye Care
    Gastrointestinal □ Indwelling Catheters-Where, how,
     NPO Status sterile/non-sterile, checked for location?
     Hepatic Status and Labs □ Nasogastric tube
    □ Bowel Care
    Hematology/Oncology □ Environment (e.g. temperature control,
     CBC appropriate surroundings in delirium)
     Bleeding? □ De-escalation What is the code status/should
    Infectious Disease we be changing it?
     Suspected Source □ Psychosocial support (for patient, family and
     Cultures Sent staff)
     Antibiotics (are they written continuously?)

    4. Check all Labs and Radiology, that have not been seen
    5. Look at Vital Signs and Trends
    6. Disposition and what criteria could cause a downgrade to a lower bed

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