Do This At The Start of A Rotation

Identify the team leader
[text name-"variable_1" default=" "]
Attending
[text name-"variable_2" default=" "]
Senior Resident
[text name-"variable_3" default=" "]



TELL THE TEAM LEADER ...


WHAT YOU WANT TO LEARN FROM THE ROTATION.
[textarea name="variable_1" default="I would like to better improve my...."]
ASK THE TEAM LEADER FOR SPECIFIC EXPECTATIONS OF YOU.
[textarea name-"variable_2" default-"Write these down."]

Schedule

WHAT WOULD YOU LIKE ME TO HAVE PREPARED WHEN ROUNDS START?
[textarea name="variable_3" default="e.g., vital signs, physical exam data, etc."]
When to leave. (Be careful asking this)
WHAT THE TYPICAL DAY LOOKS LIKE?
[textarea name="variable 4" default="Listen for the last task on the typical day; after this task is the normal exit time."]

Conferences

WHICH CONFERENCES ARE MANDATORY AND WHICH ARE NOT?

MANDATORY
[textarea name-"variable_5" default-'''']
NOT MANDATORY
[textarea name-"variable_6" default-'''']

SUGGESTED READINGS
[textarea name="7" default="learning resources, articles, electrocardiograms "]



SPECIFIC INFORMATION YOU MUST KNOW



1. What time should I be ready to round?
[textarea name="8" default=" "]


2. What would you like me to have prepared when rounds start (e.g., vital signs, physical exam data, etc.)?
[textarea name="9" default=" "]

3. Is On Call expected to stay overnight?
[textarea name="10" default=" "]

4. What procedures am I expected to perform (draw blood, insert IV lines)?
[textarea name="11" default=" "]



D A I L Y



1. Arrive early each morning 

2. [link url="https://www.soapnote.org" memo="OBTAIN A SIGN—OUT REPORT"]
? overnight events
? vital signs
? updated focused hx
? what has changed since yesterday?
? have symptoms improved?
? any new symptoms?
? ask the nurse about any overnight events
? check telemetry?
? changes in pts lab values? (morning labs)
? Rate of change



P R E . R O U N D S (+1hr)



1. Collect Neccesary Information (+15m)

(+5m) Ill patients
(+5m) Multiple Consultants attending to care
(+5m) Time-consuming maneuvers 
- gait evaluation
- detailed neurologic examination
- dressing changes
(+5m) Pts who are to be discharged today.
- Begin the paper work before work-rounds start



W O R K . R O U N D S



2. Delegate Specific Tasks
- Discharge Paperwork
- Follow Up on Radiology Study
- Blood Draw
- Discharge Summary

3. See your patients at least twice a day.

4. Sign Out Report
--patients that require immediate decisions
--pts that require consultations
--pts that require procedures
--pts that require radiolographic studies
--pts READY FOR DISCHARGE

5. FEEDBACK
Identify the team leader

Attending

Senior Resident




TELL THE TEAM LEADER ...


WHAT YOU WANT TO LEARN FROM THE ROTATION.

ASK THE TEAM LEADER FOR SPECIFIC EXPECTATIONS OF YOU.


Schedule

WHAT WOULD YOU LIKE ME TO HAVE PREPARED WHEN ROUNDS START?

When to leave. (Be careful asking this)
WHAT THE TYPICAL DAY LOOKS LIKE?


Conferences

WHICH CONFERENCES ARE MANDATORY AND WHICH ARE NOT?

MANDATORY

NOT MANDATORY


SUGGESTED READINGS




SPECIFIC INFORMATION YOU MUST KNOW



1. What time should I be ready to round?



2. What would you like me to have prepared when rounds start (e.g., vital signs, physical exam data, etc.)?


3. Is On Call expected to stay overnight?


4. What procedures am I expected to perform (draw blood, insert IV lines)?




D A I L Y



1. Arrive early each morning

2. OBTAIN A SIGN—OUT REPORT
? overnight events
? vital signs
? updated focused hx
? what has changed since yesterday?
? have symptoms improved?
? any new symptoms?
? ask the nurse about any overnight events
? check telemetry?
? changes in pts lab values? (morning labs)
? Rate of change



P R E . R O U N D S (+1hr)



1. Collect Neccesary Information (+15m)

(+5m) Ill patients
(+5m) Multiple Consultants attending to care
(+5m) Time-consuming maneuvers
- gait evaluation
- detailed neurologic examination
- dressing changes
(+5m) Pts who are to be discharged today.
- Begin the paper work before work-rounds start



W O R K . R O U N D S



2. Delegate Specific Tasks
- Discharge Paperwork
- Follow Up on Radiology Study
- Blood Draw
- Discharge Summary

3. See your patients at least twice a day.

4. Sign Out Report
--patients that require immediate decisions
--pts that require consultations
--pts that require procedures
--pts that require radiolographic studies
--pts READY FOR DISCHARGE

5. FEEDBACK

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0, 15 form elements, 278 boilerplate words, 3 text boxes, 11 text areas, 1 links, 14 total clicks
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