"Nuts & Bolts 2" - A Guide to the Clinical Years Section 3: Insider's Guide to Inpatient Settings Table of Contents Mnemonics Use the handy mnemonic "ADC VAAN DIMSL" to organize admission orders: A dmit to: Ward, service (i.e., Medicine/Surgery, etc), your name/resident's name, beeper #. (attending name but not his/her pager #) D iagnosis: Pneumonia, colon CA, R/O MI, S/P CABG. There may be more than one diagnosis. C ondition: Stable, fair, guarded. V ital Signs: Temp, pulse, RR, BP, O2sat - how often do you want them taken? A llergies: Any medication or food allergies. A ctivity: Ad lib, strict bed rest, out-of-bed (OOB) with assistance. N ursing Order: Input/Output measurement, daily weights, wound care, glucose finger sticks, Foley catheter, oxygen (flow rate and type of delivery system). D iet Order: Regular, nothing by mouth, diabetic, low sodium, full liquid. I V Fluids: Type of solution: D5, NS, D5NS (if none, write none) Rate of infusion: 50cc/hr, TKO ("to keep open" means an IV placed with the minimum running to keep the line open), hep lock. M edications: Dosage, frequency, route of administration, not to exceed dose, hold meds for (such as waiting for BP < x). S pecial Studies: EKGs, Cx-rays, CTs, MRIs. L abs: AM labs: CBC, SMAC, PT, PTT, U/A; Call HO (house officer) for: (Temp > x or < y) (Pulse > x or < y) (RR > x or <  y) (SBP > x or < y) (DBP > x or < y); (O2 sat < x%) (Urine output < y cc/hour) "PINTO SAAB VH2" is for thinking about admission and standing order medications: P ain I ntravenous fluids N ausea T ylenol O wn meds S leep A ntibiotics A nti-coagulation B owel movement (laxatives) V itamin H2 blockers