In this episode, we discuss how to best prepare for your time on the inpatient wards, including how to prepare before the rotation, how to pre-round, how to present a patient, and how to be an effective team member.

Before the Rotation
 Reach out to your team..
Understand what first day expectations are. 
Peruse the patient list.
Identify what study materials and resources will help you excel.
Come ready to learn and have fun! 


How to Pre-round


Collect information on previous day and overnight events - includes talking with resident or night team, reading all notes from day prior
Review all vitals from past day
Review and calculate “Ins and Outs”
Review all labs
Check to see what medications, including PRN meds, your patient got
Introduce yourself to patient and family - get their input on how patient is doing 
Collect your thoughts, interpret your data, and formulate your assessment and plan for your presentation and note


How to Present a Patient on the inpatient wards service
Begin with one liner
Subjective: interval and overnight events
Any patient or caregiver concern or question noted when you prerounded
Ins and Outs
Vital signs
Head-to-toe physical exam
Labs, microbiology, and radiology
Assessment one-liner
Plan


How to be an effective team member
Touch base with a resident to run through your assessment and plan. 
Show initiative
Be honest and direct
On rounds, listen to all patient presentations, not just your own
Follow up on tasks for your patients (and other patients on the team) and make sure they are carried through
Revisit your patients to keep them updated
Write notes and ask for feedback on your notes

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