Get Provider Rounding Form - Bluestone Physician Services

The Provider Rounding Form for Bluestone Physician Services is an essential document for capturing important patient information during provider rounds. This guide provides a clear, step-by-step approach to completing the form online, ensuring users can effectively input all necessary details.

Follow the steps to complete the Provider Rounding Form online.

1. Press the ‘Get Form’ button to obtain the Provider Rounding Form and access it in your browser.
2. Indicate if family is present by checking the appropriate box for ‘Yes’ or ‘No’ and then record the time if applicable.
3. Provide the patient’s name, date of birth, and room number in the designated fields.
4. Enter the patient's weight, blood pressure readings (systolic/diastolic), pulse, respiration rate, and temperature in the provided spaces.
5. In the Nursing Communication to Provider section, provide any necessary information or notes regarding the patient’s condition.
6. Answer the question about whether the patient has been hospitalized since the last visit by checking ‘Yes’ or ‘No’. If you select ‘Yes’, attach the physician discharge summary and provide relevant details.
7. Complete the Provider Orders/Communication to Nurse section with any specific instructions or orders for the nursing staff.
8. For referrals, fill in the appropriate fields for hospice evaluation, rehabilitation professionals (RN/PT/OT/ST), and specialty providers as needed.
9. Document any assessments regarding seating, mobility, or pressure management evaluations in the designated space.
10. Finally, provide the provider's signature and date, followed by the nurse or staff signature and date in the bottom section of the form.
11. Once all fields are completed, save your changes, and choose to download, print, or share the form as needed.

Complete your documents online today to ensure efficient care!