As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Leadership Manual includes this customizable template, Admission. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more.

Health care organizations around the world utilize MCN’s compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards.

Here is some sample content from Admission:

	RESPONSIBLE PERSON: Registered Nurse PROBLEM: Altered health status. ANTICIPATED OUTCOME: Patient needs will be identified through admission assessment and plan of care indicated. ACTIONS/INTERVENTIONS: Initial nursing assessment will be initiated within 15 minutes of patient's arrival to Labor and Delivery. Initial assessment will be done by RN. Intrapartum Nursing care of the intrapartum patient is directed toward securing a physically safe and emotionally satisfying labor and delivery experience for the mother, fetus and family. The intrapartum period begins with progressive cervical...
Second excerpt:
	...Antepartal history Frequency, intensity and duration of contractions Vaginal bleeding or discharge Vaginal examination for dilation and effacement of the cervix, station of the presenting part and status of membranes Date, time and mode of rupture of membranes and characteristics of fluid Initial nursing assessment will be completed and documented within two 2 hours and may include, but not be limited to: Fetal activity level Urine testing Clinical Laboratory Abdominal...