BUMC Basics.pdf - Anesthesia Home

7
Rounding on your patients:
• See ICU patients first, then floor patients.
• Update your attending as they request; if not specified
otherwise, update them daily.
• See patients you plan on discharging as early as
possible and notify attending of possible discharge so they
can plan on seeing the patient and evaluate readiness for
discharge.
The following need to be done to complete a
discharge:
• Medical Reconciliation Form updated and signed
• Prescriptions filled out and signed
• You can obtain a 2 week supply (no refills) of
medications for your indigent patients if needed. Fill out
the Rx form for a 2 week supply and write social work
across the top and place with discharge information.
• Discharge instructions with follow-up appointments
(separate form)
• Transfer orders are needed if going to a SNF or long
term care facility
• BIR/BSH have special packets that need to be done
• Write discharge order (to home, SNF, BSH, BIR, etc)
• Dictate patient and keep track of job # (write in the chart
if dictated at time of discharge; keep track separately if
dictated later)
Cross cover and check-out:
• Cross Cover starts after 5 p.m. on weekdays and at
noon on weekends
• Check out on-line: please write down user name and
password at orientation
• Call the cross cover intern and check out any seriously
ill patients
• Try to anticipate what may happen to your patient and
instruct cross cover on how you would like that managed.
Codes:
• While on wards you are on the code team two days prior
to your call day. Wear scrubs when you are on codes, oncall,
and post-call