Intern Pocket Cards - Pre-Rounding Guide - Daily Checklist Overnight Events: - Night float signout, nursing notes Interdisciplinary notes: - Review original note and any addendum Vital signs: - Trends and ranges (min and max) values I/O and weights: - Input: Oral, IV - Output: Urine, stool, drains, ostomy, hemodialysis (include last bowel movement) - Weight trends Labs: - Include trends - Review pending/send-out labs - Consider which ones are truly needed on daily basis Radiology: - Review images yourself - Note if interpretation is preliminary or final Microbiology: - Bacterial culture not considered “negative” until at least 48 hours (does not finalize until day 5) Medication Administration Record (MAR): - IV fluids and drips - Missed doses of medications - Review medications that have expired / “fallen off” - Review medications that need to be discontinued - Overnight medications that were not written as PRN by primary team - Pain medications - Insulin requirements (and glucose ranges) - Antibiotics received and start/end dates - Review if held/modified home meds can be restarted/returned back to home dose Cardiac monitoring: - Review telemetry - Consider if it needs to be continued Tubes, Lines, Drains: - Review dates of when these were placed - Review indications for removal and/or replacement on daily basis Dr. Satya Patel @SatyaPatelMD Full Inpatient Pocket Cards Collection: https://bit.ly/pocketcardset #PreRounding #Checklist #management #inpatient #internship
