Pre-rounding

AM chart rounding

Same way every time, no ifs, ands or buts about it, you check the following tabs
  • 36 hour view and free text documentation – start with these, you’ll see random orders and notes from nurses that you can then investigate in the notes (faster than going back to notes)
  • On 36 hour view: Look at meds, both current and future
  • On 36 hour view: Look at all orders since last rounded
  • On Free Text – you'll see PT/OT/SLP notes with recommendations (faster than opening forms)
  • Orders
  • Check diet
  • Check if labs are ordered
  • Labs
  • Scroll to the bottom and look at everything
  • Micro +/- Microviewer
  • IView/I&O for lines
  • Notes - scroll down to plans right away
  • Have iSITE open up, you need to know about every scan whether we ordered it or not

PM chart rounding

  • Check all labs (this is how we get fucked)
  • Check all final reads on scans (this is also how we get fucked)
  • Check all notes – scroll down to plans right away
  • Check 36 hour view since the morninorum.

Focused questioning

Type of post-op patient
Questions to ask patient while pre-rounding
All patients
3Ps: Pee? Poop? Passing gas? 
Pain: You had pain in X location before surgery, how does it feel now, show me where it is? 
Home: Do you want to go home?
Spine
Pain
EEA
Any leaky clear fluid