The document provides instructions for completing a daily chart for patients boarding in the emergency department at Children's Hospitals. The chart is intended to ensure all cares are completed, medications and meals are not missed, and vitals are taken every 4 hours. It includes sections for patient information, contact details, scheduled medications, vitals, meals/fluids, and a care plan outlining discharge criteria. The goal is to provide more complete care for boarding patients through use of the daily charting tool.

1. Boarder Patient Daily
Charting

2. About the Boarder Patient
Daily Chart
• Goal: to provide more complete care for patients boarding
in the ED at Children’s Hospitals
• Serves as a tool for providers and nurses to ensure all cares
are completed for boarder patients
• Reduce occurrence missed medications and meals
• Reminder for vitals q4h
•Work towards meeting goals for discharge
• Begin a new daily chart each day of boarding beginning at
00:00

3. •Patient Information
•Begin by filling in patient’s full name and MRN
•Notify Child Life of boarder patient in ED
•Reduce anxiety for patient and family
•Provide entertainment & reduce boredom
•Happy child = Happy parents

4. •Contact Information
•Establish an ordering provider
•If social work is needed, record social worker’s name in
this section
•Obtain parent/guardian’s name and relationship to the
patient
•Place parent/guardian’s phone number here for easy
access

5. •Scheduled Medications
•All medications ordered and given to the patient will be charted here
•Fill in all spaces completely including the time the medication was ordered
to be given and the time the medication was given with initials
•If the patient is receiving maintenance fluids, fill in the type of fluid, the
rate, and start and end times

6. •Vitals
•Take a full set of vitals every 4 hours beginning at
00:00
•Record what the patient was doing during vitals
under ‘Pt Activity’

7. •Meal and Fluid Intake
•Complete ‘Diet Ordered’ section to reduce
confusion for oncoming staff
•Fill in the time with percentage of meals eaten and
the amount of fluid intake.

8. •Care Plan
•Patients should work towards discharge beginning at
the time of admission
•Determine the criteria the patient will need to meet
to be discharged.
•When goals are met, discharge will come shortly after