General schedule

• Rounds are usually ~ 6 AM (earlier if there is conference on W/F) on the 17300 unit
• Pre-round on the patients you have seen in surgery
• Night float intern may have printed notes and lists/case schedules already, but if not then this is how you do it (todo)
• Pull patient charts onto the two carts (split into two services)
• Help template notes
• Present
• You will be in the OR most of the time
• Chief will email you a schedule each Sunday with your assigned cases for the week
• You should know about the patient (HPI, PMH indication for surgery, etc.)
• Afternoon rounds with whichever senior is done first
• Usually out by ~ 5-6 PM

Other

• Clinic
• Maybe 1-2 days in the month
• Probably good to go to Figenshau clinic (he evalutes you)
• Conferences
• W/F in 2 Wohl (follow a resident) - resident didactics or grand rounds
• Students sit in the...3rd row?
• There is sometimes food

Where to put stuff

• There is a resident call room between the elevators and the nurses station where you can put your bag. Ask a resident for the code

Presentation template (short! < 1 min):

• ID: _name_ is a _age_ year old M/F POD #__ from a _surgery_.
• Shorten to only POD if patient has been there a while and is known to the team.
• S:
• Pain: well controlled, PO or IV meds, # PCA button pushes)
• GI: diet (clears/reg), tolerating (n/v), flatus or BMs
• Ambulation (how many times)
• O:
• Ins/outs (UOP adequate, or x cc/kg/hr)
• Vitals (within normal limits)
• Exam: relevant parts only, with abdominal exam (soft, appropriately tender, nondistended, incisions c/d/i)
• Drains: Foley (clear yellow/cherry/clots), JP (serosanguinous)
• A/P:
• What is keeping them in the hospital? To be discharged, a surgical patient needs to be on PO meds with adequately controlled pain and eating a regular diet.
• Pain: transition to PO meds
• Diet: ADAT
• Drains: remove when appropriate
• etc...

Note template:

• insert image of typical note
• todo: how to skeletonize/template notes for the morning