Admission Summary
Admission No
CBR-ADM-26-000042
Attending Doctor
Dr. Tom Alexander
Admission Type
Emergency
Admitting Diagnosis
I21.9 — Acute myocardial infarction
Payer
Insurance — Policy INS-88213
Admit Date
2026-07-29 · Length of stay: 3 days
| Category | Detail | Status |
|---|---|---|
| Medication | IV Ceftriaxone 1g BD | Active |
| Medication | Insulin sliding scale | Active |
| Laboratory | Daily CBC, Electrolytes | Active |
| Radiology | Chest X-ray | Completed |
| Procedure | 12-lead ECG | Completed |
| Diet | Diabetic soft diet | Modified |
| Nursing | Vitals every 4 hours, strict I/O | Active |
| Medicine | Scheduled Time | Status |
|---|---|---|
| IV Ceftriaxone 1g | 08:00 | Administered |
| Insulin (sliding scale) | 13:00 | Administered |
| IV Ceftriaxone 1g | 20:00 | Pending |
| Paracetamol 1g PRN | PRN | Held |
Workflow: Doctor Order → Pharmacy Verification → Dispensing → Nurse Administration → Record Update.
Administer / Update MARVitals Trend
| Time | BP | Pulse | Temp (°C) | SpO2 (%) |
|---|---|---|---|---|
| 2026-07-31 08:00 | 128/82 | 88 | 37.1 | 96 |
| 2026-07-31 12:00 | 132/84 | 92 | 37.4 | 95 |
| 2026-07-31 16:00 | 126/80 | 86 | 36.9 | 97 |
Nursing Care Tasks
-
Dr. Tom Alexander — 2026-07-31 09:15
Stable overnight. Pain reduced. Continue current plan, review labs.
-
Dr. Tom Alexander — 2026-07-30 09:00
Mild chest discomfort post-transfer from ICU. Increased monitoring frequency.
| Department | Requested By | Status | Notes |
|---|---|---|---|
| Cardiology | Dr. Tom Alexander | Completed | Continue current cardiac regimen, repeat ECG in 48h. |
| Endocrinology | Dr. Tom Alexander | Pending | — |
| Procedure | Status | Detail |
|---|---|---|
| Diagnostic Angiogram | Scheduled | OT-2, 2026-08-02 09:00, Dr. Wei Zhang |
| Date | From | To | Reason |
|---|---|---|---|
| 2026-07-30 14:10 | ICU / Bed 3 | Ward A / Bed 12A | Condition stabilized |
-
Admitted2026-07-29 07:55 — Ward A / Bed 12A
-
Transferred2026-07-30 14:10 — ICU / Bed 3 → Ward A / Bed 12A
-
Currently admittedWard A / Bed 12A
Running charges to date for this admission. Final billing (insurance adjustment, discounts, discharge invoice) is settled at discharge.
| Category | Amount |
|---|---|
| Admission & Registration | 50.00 |
| Bed Charges (3 days) | 450.00 |
| Doctor Visits / Rounds | 300.00 |
| Medicines | 145.20 |
| Laboratory | 180.00 |
| Radiology | 120.00 |
| Procedures | 90.00 |
| Nursing & Consumables | 95.00 |
| Total Charges to Date | 1,430.20 |
Deposits
| Date | Mode | Note | Amount |
|---|---|---|---|
| 2026-07-29 08:10 | Cash | Admission deposit | 500.00 |
| Total Deposited | 500.00 | ||
Total Charges to Date
1,430.20
Deposited
500.00
Current Due
930.20 due