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Direct Admission Form

To admit a patient to CaroMont Regional Medical Center from a physician’s office or hospital, please call our 24-hour dedicated direct admission line at 704.834.4374. An experienced RNs will guide you through the process, and connect you with an admitting physician. Review the Direct Admission Criteria below. Use the link below to access directions to print and send with your patient.

Download Direct Admissions Information

Direct Admission Process

To streamline care for patients needing direct admission to CaroMont Regional Medical Center and the CaroMont Hospitalist Program, please use the following process:

  1. Contact the Hospital Shift Manager at 704.834.4374.
  2. The Hospital Shift Manager will coordinate a call between the Referring Provider and the Hospitalist.
  3. The Hospitalist will discuss the patient’s condition with the Referring Provider and determine if the patient is appropriate for admission.
  4. The Shift Manager will provide the Referring Provider or staff a bed assignment.
  5. The Referring Provider or staff will provide the Patient the bright green Direct Admit Form and instruct the patient to report to the Registration Area located on level B near the parking deck where he/she will be registered and escorted to a room.
  6. Referring Provider or staff fax the patient’s most recent visit summary and medication list to Registration at 704.834.3170.

Criteria to Exclude Direct Admits in Favor of ED Evaluation

In general, any patient requiring urgent intervention and management with potential for ICU admission should be sent to ED for evaluation. Some examples include:

  1. Chest Pain suspicious for angina or anginal equivalents requiring rule out of MI
  2. Acute Sepsis - with SIRS criteria with or without hypotension
  3. Acute abdomen
  4. Hypoxia with SATS < 88% on RA, or O2 - dependent patient requiring 4L or more for SATS > 88%
  5. Symptoms suspicious for stroke
  6. Rapid atrial fibrillation or flutter with HR>110 at rest
  7. CHF exacerbation with severe respiratory distress
  8. Respiratory failure
  9. Acute mental status changes
  10. Hypotension with SBP < 90
  11. GI bleed with orthostatic changes
  12. Severe anemia with orthostatic changes