For a child admitted with primary medical needs, the admission assessment must include which of the following?

For a child admitted with primary medical needs, the admission assessment must include which of the following?

• A. A nurse's note
• B. A licensed physician's signed, written orders
• C. A social worker evaluation
• D. A pediatrician's generic summary

Answer: (B)

Physician authorization sets the plan of care. A licensed physician’s signed, written orders provide the exact directives for treatment, medications, tests, and procedures, creating a clear and legally valid roadmap for the child’s care. This formal plan is what guides all subsequent nursing actions and interventions, ensuring everyone is acting on the same approved plan. While other chart elements like a nurse’s notes or social worker evaluations may appear in the record, they do not establish the specific, actionable plan of care required at admission. A generic summary from a pediatrician lacks the necessary detail and formal authorization to serve as the admission’s guiding document.

Physician authorization sets the plan of care. A licensed physician’s signed, written orders provide the exact directives for treatment, medications, tests, and procedures, creating a clear and legally valid roadmap for the child’s care. This formal plan is what guides all subsequent nursing actions and interventions, ensuring everyone is acting on the same approved plan. While other chart elements like a nurse’s notes or social worker evaluations may appear in the record, they do not establish the specific, actionable plan of care required at admission. A generic summary from a pediatrician lacks the necessary detail and formal authorization to serve as the admission’s guiding document.