Name________________________ 2.1.

7 Design a Visit Checklist

Using the template provided on the ppt, create and submit the plans for your new transfer
patients. Make sure to check off and include all the following bellow. Initial patient
information can be found on the PLTW website.
____ Patient Medical History- summarize your patient’s medical history
____ Patient Vitals- patient’s vital signs are provided and accurate, including units and calculated BMI
____ Previous Medications and Medical Procedures
____ Lab Results. Explain any lab abnormality
____ Imaging Results. Explain any abnormality
____ Diagnosed Condition. A thorough and accurate description of the diagnosed condition, including an
explanation and/or definition of acute or chronic nature of the disorder.
____ Daily Life, Signs, and Symptoms. A brief description of the patient’s daily life as impacted by disease,
including the most concerning signs and symptoms of the disorder.
____ Body Systems Affect. A short description of the body systems, including all organs, that are most
affected.
____ Precautions and Lifestyle Modifications. A short description of the main changes the patient should
make to control their disorder.
____ New and/or Continuing Medications, Therapies, and Treatments. Appropriately explain all continued
medications, treatments, and therapies.
____ Patient Questions. Include the most relevant questions you as a physician need the patient to answer
upon first meeting them. Include at least five questions!
____ Telehealth/Remote Monitoring. Description of what telehealth/remote monitoring might look like and
if it is a good option for the patient.
____ Privacy Concerns. A description of the patient’s information that should be kept private is provided.