[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-353745-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-353745-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","baseline-care-plan-nursing-admission-checklist","Baseline Care Plan - Nursing Admission Checklist","","Baseline Care Plan provides a structured nursing documentation template to complete initial admission care within 48 hours and replace it with a comprehensive care plan after 21 days. It defines admitted-for needs, admission goals, disease/illness management monitoring and interventions, and ADL/dietary assistance plus safety fall-prevention measures. It also includes psychosocial well-being behavior support guidance and space for resident/room/physician information, informed delivery methods, and physician orders covering diagnosis, allergies, therapy, diet, activity/mobility, and lab-related instructions.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/baseline-care-plan-nursing-admission-checklist/353745/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/baseline-care-plan-nursing-admission-checklist/353745.png","ImageObject",442,249,{"name":42,"@type":43},"Cipher","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-20","2026-09-22",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"When should the baseline care plan be completed and reviewed?","Question",{"text":63,"@type":64},"Complete the plan within 48 hours of admission by the admission nurse. Review by DON, and replace problems, goals, and interventions with a comprehensive care plan 21 days after admission.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How are disease and illness needs monitored in this plan?",{"text":68,"@type":64},"Disease/illness will be monitored and managed using nursing practice standards. Interventions include monitoring medications for side effects and effectiveness, tracking condition progress, reporting changes to DON/physician, and monitoring lab values with physician reporting.",{"name":70,"@type":61,"acceptedAnswer":71},"What safety measures are included for residents?",{"text":72,"@type":64},"Safety care focuses on fall prevention and mobility-related risks such as elopement, wandering, balance, transfer, and ambulation. Interventions include physical safety monitoring, following physician orders, transfer assistance, education on mobility devices, and monitoring for fall or unsteady gait.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},353745,1791512278,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":22},687208528416,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","BASELINE CARE PLAN  \nPlease complete this plan within 48 hours of admission by admission nurse. Review by DON All problems and goals and interventions will be reviewed and replaced by a comprehensive care plan (21 days after admission)  \n\n| ADMITTED FOR:\u003Cbr>􀂅 Skilled services due to weakness post-surgery Others: \u003Cbr>􀂅 long-term care due to safety require daily nursing care\u003Cbr>􀂅 Disease/illness management: 􀂅 | ADMISSION GOAL:\u003Cbr>􀂅 Participate in treatment for \u003Cbr>􀂅 Participate in therapy \u003Cbr>􀂅 Display progress in  \u003Cbr>􀂅   |\n| --- | --- |\n\n\n| DISEASE/ ILLNESS MANAGEMENT |  |  |  |  |\n| --- | --- | --- | --- | --- |\n| 􀂅 Diabetic | 􀂅 Catheter | 􀂅 weight loss | 􀂅 Nutrition | 􀂅 Wound 􀂅 pressure injury\u003Cbr>|\n| 􀂅 Hypertension | 􀂅 comatose | 􀂅 cerebral palsy | 􀂅 Weakness |  |\n| 􀂅 Post-surgical care | 􀂅 septicemia | 􀂅 multiple sclerosis | 􀂅 Post CVA |  |\n| 􀂅 Seizure | 􀂅 quadriplegia | 􀂅 Parkinson’s disease | 􀂅 infection |  |\n| 􀂅 Respiratory | 􀂅 pneumonia | 􀂅 Alzheimer/ dementia | 􀂅 on IV medication |  |\n| 􀂅 Pain | 􀂅 O2 therapy | 􀂅 on psych medication | 􀂅   |  |\n| 􀂅 hemiplegia | 􀂅 Tube feeding | 􀂅 Psychiatric illness |  |  |\n| 􀂅 GI problem | 􀂅 vomiting | 􀂅 Using anticoagulant | 􀂅 |  |\n\nGoal: Disease/ Illness will be monitored and managed using standards of nursing practices until further instructions  \n\n| Interventions: Following order for treatments\u003Cbr>􀂃 Monitor medications: side effects, effectiveness\u003Cbr>􀂃 Provide safety environment, properly use devices\u003Cbr>􀂃 Monitor for complications of illness | 􀂃 Monitor conditions, progress of illness. Report changes to DON/ physician\u003Cbr>􀂃 Monitor Lab values and report to the physician\u003Cbr>􀂃 Provide comfort and care:  |\n| --- | --- |\n\n\n| ADL/DIETARY MANAGEMENTS |  |\n| --- | --- |\n| ADL | DIETARY |\n| Problems (circle): require assistance of Grooming | Problem: 􀂅 Tube feeding 􀂅 Regular diet |\n| Hygiene Toileting Bathing Dressing Eating | 􀂅 Mechanical die (circle) t: Soft Pureed Clear liquid Regular |\n| Goal: All ADL care will be assisted or encouraged for | 􀂅 Therapeutic diet 9circle): NAS NCS other:  |\n| independence until re-evaluated upon comprehensive CP | Goal: Follow dietician’s recommendations & physician order for |\n| Interventions: Assist with ADL and assess for restorative | dietary care to assist nutritional intake |\n| care | Interventions: Monitor for safety and assist with meals, food |\n| 􀂃 Encourage self-care/participation Setup and monitor | consumption |\n| 􀂃 Maintain safety precautions due to   weakness | 􀂃 Monitor intake record &weight. Encourage cooperation |\n| 􀂃Provide supportive devices: catheter other:  | 􀂃 Provide diet as ordered. Monitor for safety (swallowing) |\n| 􀂃 Toileting as needed. Monitor for skin issue | 􀂃 Provide supportive device(s) |\n\nSAFETY CARE  \nProblems: 􀂅 Fall 􀂅 Elopement Wandering 􀂅 Ambulation 􀂅 Transfer 􀂅 Balance 􀂅 Locomotion 􀂅 Using brace/splint 􀂅 Using mobility devices(circle): manual/ electric wheelchair 􀂅 walker 􀂅 can 􀂅 others   \n\n| Goal: Safety measurement will be monitored and managed until further instruction of an official care plan |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Interventions: Monitor physical safety; follow physician order Provide informed consent to family and resident safety instruction\u003Cbr>􀂃 Transfer with  staff assist 􀂅 Independence 􀂅 Lift 􀂅 gait belt\u003Cbr>􀂃 Weight bearing (circle that apply): R L: Encourage Discourage\u003Cbr>􀂃 Assist/encourage bed mobility |  |  |  |  |  | 􀂃 Monitor for fall, unsteady gait , loss balance, be mobility\u003Cbr>􀂃 Provided mobility devices: \u003Cbr>􀂃 Educate/ instruct on how to use: \u003Cbr>􀂃 Monitor for location\u003Cbr>􀂃 Assist with ambulation |  |  |\n| PSYCHO SOCIAL WELL/ILL-BEING CARE |  |  |  |  |  |  |  |  |\n| 􀂅 sad / crying\u003Cbr>􀂅 aggression\u003Cbr>􀂅 resist care | 􀂅 verbal abuse\u003Cbr>􀂅 physical abuse\u003Cbr>􀂅 agitation | 􀂅 combative\u003Cbr>􀂅 Blind\u003Cbr>􀂅 Deaf | 􀂅 Non-English\u003Cbr>􀂅 Confused\u003Cbr>􀂅 Non-verbal |  |  |  | 􀂅 sexual inappropriate\u003Cbr>􀂅 Mood fluctuated\u003Cbr>􀂅 Cognitive intact | 􀂅 Others : \u003Cbr>____","cbCair17JH0sur98","https://ap.wps.com/l/cbCair17JH0sur98","pdf",301898,"English","# Disease/Illness Management\n## Interventions and Monitoring\n# ADL/ Dietary Managements\n## ADL\n## Dietary\n# Safety Care\n## Problems and Goals\n## Interventions\n# Psycho Social Well/Ill-Being Care\n## Goal and Interventions\n# Other Special Care Instructions\n## Therapy, Medication Administration, and Protocols\n# Physician Orders\n## Admitting Diagnosis and Allergies\n## Orders for Therapy and Diet","[{\"question\":\"When should the baseline care plan be completed and reviewed?\",\"answer\":\"Complete the plan within 48 hours of admission by the admission nurse. Review by DON, and replace problems, goals, and interventions with a comprehensive care plan 21 days after admission.\"},{\"question\":\"How are disease and illness needs monitored in this plan?\",\"answer\":\"Disease/illness will be monitored and managed using nursing practice standards. Interventions include monitoring medications for side effects and effectiveness, tracking condition progress, reporting changes to DON/physician, and monitoring lab values with physician reporting.\"},{\"question\":\"What safety measures are included for residents?\",\"answer\":\"Safety care focuses on fall prevention and mobility-related risks such as elopement, wandering, balance, transfer, and ambulation. Interventions include physical safety monitoring, following physician orders, transfer assistance, education on mobility devices, and monitoring for fall or unsteady gait.\"}]","Baseline Care Plan - Nursing Admission Checklist | PDF",1790107033]