3. Morning Rounds
Overnight Team:
Before 5:30 am
- Verify that census is up to date and accurate
- Switch any “Acute Care Surgery” (e.g. pyloric, appy) patients to the SOW unless specifically instructed by Attending on Call that they will keep the patient
- Verify add-on cases from overnight are on listed on second page of list
- Patients should be divided among all residents and the NPs
- NPs should be assigned only primary floor pts under age 21 (no consults or ICU patients)
- Assign NPs a max of 15 pts total (Trauma NP not included in count)
Trauma NP covers all Trauma patients on weekdays (ICU or floor)
Pre-Round: 5:30 - 6:00 am
- Residents/Fellows gather data from EPIC
- Vitals, I/Os and overnight events should be gathered prior to walk rounds
Walk Rounds with Fellows: 6:00 - 6:30 am
- Round on service with Pediatric Surgery and Sub-Specialty Fellows as assigned by Pediatric Surgery Fellows.
- General Guidelines (may vary depending on staffing)
- Senior Fellow, R3s: PICU/CICU
- Junior Fellow, Intern: A4N
- Colorectal Fellow: A4S
- Trauma Fellow: A7
- HVMC/Oncology Fellow or Fetal Fellow: A6, A5
- Fetal Fellow or HVMC/Oncology: A3N, A3S
Morning Table Rounds: 6:30 - 7:15 am
- Occur in Nurse Practitioner Office
- Sub-specialty fellows will log-onto computer and drive EPIC during rounds
- Residents/NPs/Sub-specialty fellows present each patient
- Plans made by Pediatric Surgery Fellows
**Take notes so plans on all patients are known by everyone**
After Rounds: 7:15 - 7:30 am
- Update all notes with exam / plan discussed at Table Rounds
- Verify the “Co-Sign” attending (can change during Table Rounds)
- Call primary teams/ICU on consult patients to give plans