Junior doctors are all too often mistaken for scribes. Write everything that’s said by the consultant/patient Different consultants have different preferences about how they like things written (the above is an example) This study assessed the use of a checklist to correct these omissions. Its use as the basis of structured ward round documentation was then measured. Ward Round Documentation M. Tips! Post take ward rounds can be high pace and there is a lot of pressure on junior doctors to document discussions and plans made by the clinician leading the ward round. Typical Work Pattern: Rolling rota of full week receiving, week off, post take and elective ward cover. 4. Use our new template to develop a orthopedics-specific health plan that you can adapt to reflect your institution's changing priorities. doi: 10.3928/01477447-20170509-01. Identify the most important goal in caring for a patient with orthopedic trauma. In this climate of increasing litigation, it is imperative that good medical records are kept. Usually at least one ward round is conducted everyday to review the progress of each patient outcome. 2. ... of documentation of an orthopaedic post-take ward round. Owing to the small sample size, the patients were not subdivided into relevant teams or according to which grade of doctor led the ward round. Identify complications that can arise related to orthopedic trauma. Here are some tips on how to make the most of the crucial consultant ward round. Key aspects of care may be overlooked on a busy surgical ward round. Using a structured checklist, key aspects of surgical care were observed and recorded during ward rounds. 5. Leave enough space for each section and write things in the relevant section as they are said (often won’t be in order!) -Complete 3rd/4th year med student style H&P card with accompaning daily form for those day to day activies on the ward, ICU or CCU (also get Page 2) Medicine Heavy Duty Scutsheet -For those who love grids and small writing. The template provides direction on four steps of the planning process: performance analysis, market assessment, plan design, and plan evaluation. Care of elective orthopaedic patients and trauma patients on the orthopaedic unit. • In 12 encounters (13%) a nurse was present on the ward round. … orthopaedic surgery and urology. Authors Adrian J Talia, James Drummond, Cameron Muirhead, Phong Tran. The book is divided into eight sections that include ward round, table of instruments and implants, table of orthopedic radiographs, table of orthosis and prosthesis, bone, joint model and specimen, orthopedic surgical approaches, operation theater and sterilization, and glorious history of orthopedics. Using a Structured Checklist to Improve the Orthopedic Ward Round: A Prospective Cohort Study Orthopedics. Define orthopedic trauma. 2017 Jul 1;40(4):e663-e667. Conclusions Following introduction of the ward round template, compliance improved significantly in all safety parameters. A Ward round is a visit made by a medical practitioner, alone or with a team of health care professionals and medical students to hospital in-patients at their bedside to review and follow-up the progress in their health. Methods. Using these tools will help hospitals implement standard templates. 3. Describe the process of assessment used to identify orthopedic injuries. 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