| Admitting letter from local MD ends with
"Sorry." |
10 points |
| Local MD.'s letter begins with "Than you
for admitting..." |
10 points |
| Has untreated fractured N.O.F. for over
3 weeks prior to presentation |
7 points |
Fractures hip
- while in hospital
- while restrained
- while in traction for fracture to other hip
|
3 points
6 points
9 points |
| Spikes temperature night prior to discharge
|
4 points |
| Decides "doesn't like" nursing home that
Social Worker has taken 6 weeks to locate |
5 points |
| Hemoccult positive stool night prior to
discharge |
5 points |
| Sent back from X-Ray Department without
having requested Barium Enema performed |
8 points |
Removes own
- IV line
- NG tube
- sump drain
- peritoneal catheter
- chest tube
- ventriculo-peritoneal shunt
|
2 points
3 points
5 points
8 points
10 points
15 points |
Removes own foley with 30mL balloon full
|
5 points
10 points |
Any one of the following
- age < urea
- hemoglobin < shoe size
- years in N.H. > years not in N.H.
- number of hospital presentations > age
|
5 points
5 points
5 points
5 points |
| Toenails cannot be cut with nail clippers
|
3 points |
Urinates on
- roommate
- visitor
- resident physician
- consultant
- medical student
|
2 points
4 points
5 points
7 points
1 point |
Fluid balance chart OUTPUT column reads
"voided in bed"
- on more than 4 occasions
- while catheterised
|
4 points
8 points |
| Stool specimen (unrequested) found 10
feet from bed |
5 points |
Aspirates dentures
- requires tracheostomy for same
|
6 points
12 points |
| Femoral punture required for daily bloods
|
3 points |
| Problem list 1 page long |
5 points |
| Falls out of bed despite bed rails and
4 point restraint |
4 points |
Old notes
- 2 volumes
- 2 Kg
- 2 feet high
|
3 points
3 points
3 points |
| Admitted by same Intern to more than 3
different teams |
6 points |
| Overlooked on attending rounds on three
consecutive days |
4 points |
| Requests cigarette during spirometry |
5 points |
Fecal impaction
- despite ileostomy
- if ileostomy originally for fecal impaction
- under fingernails
|
6 points
12 points
20 points |
| Answers "yes" to all questions |
4 points |
| Answers "yes" to all questions asked to
other patients in the room |
8 points |
Found drinking from urine bottle (own)
Found drinking from urine bottle (neighbor's)
- while on strict fluid balance chart
- while NPO
|
3 points
6 points
9 points
12 points |
| Psychiatry consult suggests transfer but
declines same |
3 points |
| Admission begins "Found unresponsive..."
|
5 points |
| Patient breaks thermometer while in:
|
3 points
6 points |
| Room disinfectant concentration causes
conjunctivitis |
2 points |
| Refused by VA Hospital despite service
in two World Wars |
8 points |
| Clings to resident physician.'s arm though
grasp reflex is negative |
5 points |
| Easier to understand without dentures
|
3 points |
| Welcomes Medical Students |
7 points |
| Daughter rings Social Worker more than
3 times per day |
6 points |
| Appreciates hospital food |
10 points |
| Requests bedpan immediately on arrival
in hospital |
3 points |
| Sits in waiting room following discharge
|
5 points |
| Knows catering staff by name |
5 points |
| File includes more than 3 Incident Report
forms |
5 points |
| Squamous metaplasia of tongue due to prolonged
exposure to air (Q sign) |
8 points |
| Successfully resuscitated by Paramedics
|
20 points |
Relatives
- request admission
- demand admission
- arrive with patient's suitcase in hospital
|
3 points
6 points
9 points |
M.R.S.A. discovered after admission
- to ward
- to theatre
- to I.C.U.
|
2 points
3 points
4 points |
| Anointed by priest prior to presentation
|
6 points |
| Presenting complaint reads only "Social
Admission" and/or management plan reads only "For Placement" |
5 points |
| Bounces after turf to Neurosurgery |
20 points |
3: Guest (s)