We have a combined ward round/checklist document which has 56 ...

NameDoBNumberEverything Matters ChecklistMORNING WARD ROUNDDate: Time:Consultant :Ward round notes and plansABCFluids12345678910111213141516171819202122232425262728ETT secureCuff pressure OKTracheostomy consideredVentilator limits appropriateRecent CXR (OK ETT posn)Acceptable gas limitsSaturation targetsPhysio plan in placeVentilator screen setBP/HR limits setRhythm assessedCuff BP 4 hourlyInotrope weaning planUSCOM used if needed?Need for CVL consideredArterial line need assessedEnteral feeds consideredFluid rate agreedTPN consideredDietician if needed?Prokinetics consideredNJ tube consideredAntacid if not feedingLaxatives if not BOUrine output assessedFluid target setConsider catheter patencyConsider need for catheteryes no n/ayes no n/ayes no n/ayes no n/aNeuro293031Pupils checkedNeuro obs needed?Considered raised ICP?yes no n/aBy theBy theendendof theof thewardwardround,round,everyeverychecklistchecklistboxboxshouldshouldhavehavebeenbeenconsidered.considered.AnythingAnythingtickedticked“no”“no”shouldshouldbeberectifiedrectifiedas soonas soonas practicable,as practicable,thenthen”done””done”

NameDoBNumberMORNING WARD ROUNDDate:Consultant :Everything Matters ChecklistWard round notes and planBloodsSedative323334353637383940Blood results backCross match consideredCultures if needed?Cultures chased?Asses sedationOral sedation if appropriateRoc holidaySLEEPS trial consideredBoluses prescribedyes no n/ayes no n/aCare4142434445yes no n/aThromboprophylaxis assessedPressure mattress consideredMobilisation consideredConsider drains to come outAll skin integrity checkedTasksComms4647484950515253545556PICANET form completedM&M form doneMRSA swabs up to dateDrug chart checkedFluid chart checkedParents updatedPRP if appropriateOther teams informedDischarge letter startedLocal hospital up to dateDischarge plannedTotal“no”boxesPlease write codes hereNear Dischargeyes no n/ayes no n/asignedPlanBy the end of the ward round, every checklist box should have been considered.Anything ticked “no” should be rectified as soon as practicable, then ”done”