SelectSmart.comSelectSmart.com®
Before you decide
Over 20,000 selectors
btbates's flowchart create and edit page

Privacy info.

▷ ▶ 2-Midnight Rule SelectSmart.com free Medical flowcharts and decision trees.
A SelectSmart.com Flowchart by btbates. See btbates's 4me blog page.
Viewed 1160 times. Created November 2013.
This SelectSmart.com Medical flowchart, a free online decision tool is a creation of btbates and for amusement purposes only. The implicit and explicit opinions expressed here are the author's. SelectSmart.com does not necessarily agree.
Medical2-Midnight Rule
By btbates
Share
Search for more flowcharts          Make a flowchart
RATE THIS
FLOWCHART








       
Decision to Admit Patient
YES
Will treatment exceed >2 midnights? Also consider clinical presentation: Patient History; Comorbidities; the Severity of Signs and Symptoms; Current Medical Needs; Risk of an Adverse Event
NO
Order "Admit to" Observation Services
Utilization Management Review (within 24 hours) Is Observation status appropriate?
YES
Discharge Patient or UM reassessment next day



YES




NO


 
1) Enter "Admit to Inpatient" Order in IMPACT Residents/Fellows; CRNPs/PAs; and RNs* * - RNs per verbal order from attending physician 2) Attending Physician add "Inpatient Admission Auto-Text" to admission H&P. Fill in required fields with pertinent clinical information. 3) Signature of Attending Physician authenticates Inpatient Order and Certification.
 
UM will send for level of care determination
 









 
YES
Utilization Management Review (per protocol) Is Inpatient status still appropriate?
 
Is Inpatient Admission appropriate?
NO
 



NO






 
UM will send for level of care determination
UM contacts physician for change in status correction.