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So you’re starting the floor… The pediatric ward is located on 11N, to the left of the elevators. Scheduling During each month of floor rotation, your work hours are officially 7am (AM signout) – 6pm (PM signout). Pre-Rounding When you’re ward intern, what time you arrive at the hospital is usually dependent on how many patients you carry.
AM Sign-Out AM sign-out begins promptly at 7am in the 11N conference room across from the call room.
Work Rounds The entire team (including night intern and senior) round in the conference room in the morning as an introduction for the day. Senior Sign-Out ? Tip: Try to structure your presentations for work rounds by systems as laid by the senior’s sign-out sheet. Morning Report The goal of morning report is to provide an interactive forum for house staff to develop skills in presentation, diagnostic evaluation and patient treatment. Attending Rounds After morning report, you should get all time-sensitive work done: discharges (should be done before 11am if possible), calling consults, seeing newly admitted patients (with service patients getting priority) and reading their charts thoroughly, and seeing all service patients. Outline Introduction Introduction Schedules Schedules Prep work Prep work Division of labor Division. The rotations are labor intensive (and very intimidating at first!) but can be very rewarding. The big gray cabinet in the core houses most of the blank forms you’ll ever need, including blank H&Ps, flow sheets and discharge paperwork. As much as I try to understand and demystify, it remains both a daunting and exciting prospect.The Surgical Intern Survival Guide by Drs. The resident call room is the first room to the left as you walk through the double doors onto the floor. For every four weeks that you’re on the floor, you’ll work a 24- hour Friday, a 24-hour Saturday and a Sunday (7am-7pm) For every four weeks that you’re on the floor, you’ll work a 24- hour Friday, a 24-hour Saturday and a Sunday (7am-7pm) Be prepared to push the 80-hour work week limits. In them you’ll find: Patient stickers Patient stickers Completed H&P with growth chart Completed H&P with growth chart Progress notes Progress notes Completed consults Completed consults ED and outside records ED and outside records Blue Charts are found bedside.
If you need paperwork not found in the gray cabinet for any reason, ask a clerk or your senior.

Presentations should be short, with a brief introduction to the patient, any overnight events, ROS by system, pertinent physical exam findings if you examined the patient, pertinent vitals, assessment and plan for the day. Attending rounds are bedside and family-centered with presentations either outside of the patient’s room or inside with family present. Dangleben and Garza attempts to ease the learning curve by answering common concerns and questions for green surgical interns in an easy to use guide. They exist to have all pertinent information, past and present, at fingertips and facilitate good signout.
The app is available for iPhone and iPod Touch, and as the title suggests, would be best utilized by surgical interns.The app opens into a table of contents with topics ranging from Common Floor Calls, Operative Dictations, Medications, and Nutrition. The floor team will consist of medical students, 4-5 interns (usually 3 or 4 pediatric interns + 1 family medicine intern) and 2 seniors.
Most interns like to use them and you should receive one for each patient you are signed out, but there are no guarantees.
Assigning patients: As the night intern presents new admissions (more information on this later), the seniors will assign them to interns based on current patient numbers. If the patient is established, your presentation will be the same as work rounds, except your emphasis will be on physical exam, assessment and plan.
Make sure that you know everything about each one of those patients: take notes during the verbal sign-out, comb the chart for pertinent information (H&P and off-service notes are key, if the latter is applicable) and go through the computer for current orders, latest labs and previous discharge summaries, if there are any. A good rule is to make a new one for each patient you’re signed out, as well as new patients you’re assigned.
Patients will be split as evenly as possible, but expect to carry at least 4-5 per day on average. On Wednesdays, work rounds are conducted one intern at a time in the 11N conference room in order to make sure everyone can get their pressing work done and make it to Grand Rounds on time. Perhaps the most useful ones would be the Common Floor Calls, with Operative Dictations and Documentation categories providing added benefit for interns. Seniors should share their knowledge with the interns and the interns should feel free to ask questions and offer responses. If you are on over the weekend, keep a list handy (usually taped to the cabinet above the senior computer) of patients you admit.

The formulas tab presents a list of 10 calculations, criteria, and formulas of notable use in surgical patients. You should hand them off to another intern whenever you need to sign out (to night team, when you have clinic, off-service). The abbreviations tab alphabetically lists common abbreviations that are encountered in the surgical realms. If rounding is not complete by 8am, rounds conclude after morning report in the 11N conference room, one intern at a time. You should defer all presentations to your medical students if they are following a patient with you (this is true of work rounds as well). Make sure to go over with them the correct format and help them in their areas of weakness. Most hindering to its utility is the formatting, the poor spacing is present throughout the app and is minimally improved by the in-app zoom feature or even the iOS screen zooms. Remember – you play an active role in your pediatric education, of which the inpatient rotation is an important piece.
Therefore, you should pay attention to your seniors – how they prepare, present and respond to criticism.
The lack of suggested resources, websites, or references for further aid is a deficit that could have added much value.
Either on your flow sheet or your own sheet, write a one-sentence summary about each patient, vitals and labs you’ve collected and current medications. Our physician editors lead a team of physicians, allied health professionals, medical trainees, and mHealth analysts in providing reviews, research, and commentary of mobile medical technology.
Comprehensive treatment of entire topic is not necessary but all possible entities in the differential diagnosis should be discussed based on the facts of the case at hand. Our publication is heavily based on our own experiences in the hospital and clinic setting.

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