1 / 16

A typical day on the inpatient Medicine team What do I need to know?

A typical day on the inpatient Medicine team What do I need to know?. Naseema B Merchant, MD, FCCP, FACP, FHM Department of Medicine Yale University School of Medicine VA CT Health Care System. Objectives. Inpatient care Processes Clinical Care Patient and family communication

tamera
Download Presentation

A typical day on the inpatient Medicine team What do I need to know?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. A typical day on the inpatient Medicine teamWhat do I need to know? Naseema B Merchant, MD, FCCP, FACP, FHM Department of Medicine Yale University School of Medicine VA CT Health Care System

  2. Objectives • Inpatient care Processes • Clinical Care • Patient and family communication • Electronic Health Records • Patient flow • Resource utilization

  3. Objectives (contd.) • Balancing clinical responsibilities with education • - Point of care learning • - Managing time between patient work and scheduled educational activities

  4. Inpatient Care ProcessesClinical Care • Gathering patient data • Physical exam (during admission and daily visits) • Presenting on rounds • Writing notes • Patient admission process • Patient discharge process • Patient hand off

  5. Clinical Care -Gathering patient data • Communication with night float team • Communication with the night nurse • Reviewing notes from the previous 24 hours( nursing , allied services, consults etc.) • Reviewing new orders entered on your patient ( while you were gone)

  6. Clinical Care-Presenting on rounds • Communicating with the team prior to presenting on rounds • Presenting a new admission • Presenting daily progress on an existing patient • Use of templates for oral presentation

  7. Clinical Care- Note writing • Daily progress notes • Admission note • Discharge note

  8. Clinical Care- Admission, rounding and discharge • Admission checklist • Daily rounding checklist • Discharge checklist

  9. Inpatient Care Checklist

  10. Inpatient Care processes-Patient hand-off • Admission team and ED • Admission team and PCP • Day team to night team and vice versa • Weekday team to weekend team and vice versa • Primary team to consult team and vice versa • Primary team to patient and family • DC handoff -Discharging team , patient, family and outpatient providers • SBAR model

  11. SBAR model • S- Situation • B- Background • A- Assessment • R- Recommendation

  12. Patient Care processes-Patient/family communication • First meeting with the patient • Follow up visits • Use of the white board in the patient room • Family communication ( timing and frequency)

  13. Patient Care processes-Patient flow • Definition • Significance • Physician role in patient flow

  14. Inpatient Care processes-Resource utilization • Definition • Significance • Role of the physician in the appropriate use of resources and limiting inpatient costs

  15. Balancing clinical responsibilities with- educational activities • Point of care learning Learning on the go! • Managing time between patient work and scheduled clerkship learning activities ( case conferences, EKG sessions, radiology sessions etc.)

  16. Care for your patient the way you want to be cared for Thank you

More Related