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