Kinds of Workups and When to Use Them

1. INPATIENTS

(Patient in house night before surgery) A.M. ADMISSION (patient admitted the morning of their scheduled surgery). All patients remaining in hospital for a minimum of two postoperative days will count towards the required inpatient assignments. You are not allowed to make patient rounds prior to 5:00 AM. Ideally your daily progress notes should be on the chart prior to the resident’s notes. If you find that you don’t have adequate time to see all of your patients before morning rounds and or your patient assignment seems to be too heavy please contact the nurse educators or the chief resident on the service. Responsibilities include:

1 Assess patient preoperatively

2. Participate in the surgery

3. Assess patient four to six hours postoperatively

4. Daily progress notes A. ICU and IMC patients must be seen both in the morning and evening. B. ICU and IMC status determined by orders written on chart. C. Patient rounds will be completed every day (including Saturday morning) except for Sunday.

5. If during your rounds you have a question about one of your patients, page the resident involved in the case and discuss it with him/her. If the resident instructs you to write a new order, the order must be co-signed by the resident or attending before the nurses can carry it out. If the nurse is close by the phone, she can take a verbal order from the resident or attending. If not, the order will not be initiated until after it has been co-signed.

6. All patients must be followed until discharge or until you leave the service.

2. SAME DAY OUTPATIENT

(patient admitted for less than 24 hours) This patient is counted as one of your required outpatients.

1. Assess patient preoperatively

2. Participate in the surgery

3. Assess patient four to six hours postoperatively

4. Assess patient and write progress note in AM prior to discharge.

3. OUTPATIENTS

(patients discharged day of surgery) Responsibilities include: 1.Assess patient preoperatively. 2. Participate in surgery.

SUMMARY PATIENT ASSIGNMENTS

*Inpatient counts only if patient remains in the hospital 2 days post-op. Otherwise a same day outpatient counts as an outpatient.