CHECK LIST OF POST-HOSPITAL COMPLICATIONS AT REHAB/SNF OR HOME
[for Communication with Healthcare Providers]

Health Conditions Tests / Reports to Obtain
Questions to Ask
Suggestions to Staff
Monitoring Outcomes
Health Complications
Physicians, ARNPs, PAs, RNs
1. Heart / Lung (Circulatory/Respiratory)
Progress / Outcomes / Complications
  • Congestive Heart Failure
          (CHF)
  • Blood Pressure & Daily Weight
  • Lasix -- Potassium Chloride (KCl)
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  • Pleural Effusions
  • Chest X-Rays / CT Scans: Findings?
  • Oxygen Levels: Oximeter 90+%NL?
          Administration as needed
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  • Pulmonary Embolism
         [from DVT/leg clots]
  • Ultrasound
  • Blood Thinners? INR:2-3NL (if on Coumadin)
  • TED hose: leg stockings
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  • Pneumonia
  • Incentive Spirometer: every 2 hrs? how high?
  • Antibiotic?
  • Use of Cardiologist /Pulmonologist
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  • 2. Urinary
    Progress / Outcomes / Complications
  • Urinary retention

  • UTI: Tract Infection
  • Foley catheter? Draining? Clear?
  • Bladder scan: amount after voiding
  • UA [Urinalysis] & C&S [Culture&Sensitivity]?
          + Antibiotic: if >100,000 bacteria
  • Use of Urologist?
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  • 3. Stomach / Gastro-Intestinal
    Progress / Outcomes / Complications
  • Weight Loss

  • GI Bleeding

  • Diarrhea from C-Difficile
  • Eval: 24hr intake & plan? Weight?
  • Hemoglobin? (nl, male:14-16); pre-op level?
  • Tests for blood or toxins in stool?
  • WBC? [White Blood Count; nl: 5,000-10,000]
  • Meds: Flagyl or Vancomycin?
  • Own commode? ( if not in single room)
  • Use of Gastroenterologist or
          Infection Specialist?
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  • 4. Skin Condition
    Progress / Outcomes / Complications

  • Breakdown (esp.from
          urinary incontinence or
         diarrhea)

  • Infection at incision site or
         elsewhere

  • Pressure Ulcers
  • Number of episodes? Pads changed ASAP

  • Redness, drainage, meds, treatments,
          protective ointments?

  • Look at pressure points/ Turning schedule?

  • Use of Facility Wound Specialist?
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  • Draft Copy by Port Ludlow Health & Wellness Committee, Fall 2015 (www.plhealth.org/checklist3.html) Disclaimer: This resource is designed to assist residents and their advocates with accessing relevant health information when communicating with healthcare professionals; it is not to be used for the diagnosis or treatment of any specific medical condition.