Present on admission – documentation

If any of the conditions listed below are not documented in the admission H&P they are considered hospital acquired conditions.

  • Foreign object retained after surgery
  • DVT & PE post orthopedic procedure
  • Manifestations of poor glycemic control
  • Vascular catheter infection
  • Pneumothorax with venous catheter
  • Falls, fractures, dislocations, intracranial injuries, crush injuries, burns, electrical shock
  • Air embolism
  • Catheter associated UTI
  • Stage 3 or 4 pressure ulcer – important
  • Surgical site infections post CABG, orthopedic procedures or bariatric surgery