What Goes on the Outside of a Patient’s Charts? (Video)

These are the things that need to go to the front of the chart:

• A sticker where you write the patient’s Last Name (I never put the first name or the first initial unless there are multiple patients with the same last name), and the Doctor’s name.
• An allergy sticker (even if the patient has no allergies, you will just write NKDA/NKFA, which stands for No Known Drug Allergy/No Known Food Allergy).
• A sticker that has the room number for the patient.
• Please include any seizure, aspiration, or fall precaution stickers if necessary.
• If necessary, a DNR (Do Not Resuscitate) sticker.
• If necessary, an Isolation sticker.
• If necessary, a Name Alert sticker should be placed if there is more than one patient with the same last name.