Pre-Rounding


  • NUMBERS (ORDER MATTERS!)::
    Tcurrent/Tmax
    HR
    RR
    BP
    O2Sats (ranges if abnormal)
    Vent Settings (See Section II)
    Glucose checks (current and 24 hr range)
    ABG’s- pH/PaCO2/PaO2/HCO3/Lactate

    Total IN/ Total OUT (then specifics as below)

    OUTS - include last 3 8hr-shifts (24hrs)::
    Urine
    drains (chest tubes, JPs) + describe
    Ostomies + describe
    Poops

    INS::
    IVF (what and rate)
    Drips
    Tube feeds (residuals?)
    Oral intake (and what diet)

  • 1. Heart and lungs
    2. Directed exam per patient
    3. Check incisions (bandages)
    4. Check drains

    By System:
    Neuro: Pain controlled?
    Pulm: Pulm toilet, IS, ambulate, PNA?
    CV: Beta-blocked? Need home meds?
    GI: Diet plan?
    Renal: Foley in/out, bolus?
    Heme: HCT stable? Coag issues?
    Endo: BG controlled?
    ID: Fever? Antibiotics on/ off?
    Prophy: Anti-ulcer, anti-DVT
    Lines/Drains: In/out?