Most felt that the RCP guidance for ward rounds is insufficient and that a new patient on the ward requires 30-40 minutes of consultant time and a follow-up around 10-15 minutes. Ward rounds form an integral part of Internal Medicine teaching. One of the main features of ward rounds is the professional conversation that occurs between doctors and nurses. While their responsibilities on ward rounds may vary from ward to ward, nurses have a vital role to play and should make it a priority to attend. [1] Their application in safety-critical industries outside of medicine continues to offer a strong argument for their application to medicine. Medical ward rounds are complex clinical activities, critical to providing high quality, safe care for patients in a timely, relevant manner. Ninety ward rounds taken by 24 trainers in the Anglia region were observed. Ward rounds are a crucial aspect of acute care, but nurses’ involvement varies. Teaching was a feature of all ward rounds … This study aimed to determine the trainees' opinions regarding various aspects of their ward rounds, including how well they cover their learning needs, how they would like the rounds to be conducted, and differences of opinion between medical students and postgraduates. Depending on what else the doctor has to do that day, rounds can happen very early in the morning. Doctors frequently use half-filled boxes to indicate partial completion e.g. This article discusses key aspects of nurses’ responsibilities and the different stages in the ward-round process. Although originally intended as a means of educating medical trainees and junior doctors, over time they have become focused on supporting clinical practice. Ward rounds are a crucial aspect of acute care, but nurses’ involvement varies. Doctors were surveyed using a structured pro forma (see supplementary material S1), with a focus only on consultant-led ward rounds, those considered to be the ‘main’ rounds, rather than quick ‘troubleshooting’ or select patient reviews. Each observation produced a note of the ward round’s structure and routines and of the contri-butions made to it by trainers and trainees. [2] The daily in-patient medical ward round is a complex process and includes multiple potential risks to patient safety. Checklists have been shown to improve care and reduce morbidity and mortality in the healthcare setting. While their responsibilities on ward rounds may vary from ward to ward, nurses have a vital role to play and should make it a priority to attend. The doctors check on patients in the morning to see how they are doing. Doctors call this “rounds.” Many doctors round with the whole healthcare team—the residents, the nurse, the pharmacist, etc. bloods taken but result pending. W They provide an opportunity for the multidisciplinary team to come together to review a patient’s condition and develop a co-ordinated plan of care, while facilitating full engagement of the patient and/or carers in making shared decisions about care. Ward rounds are an important and ubiquitous element of hospital care with a history extending well over a century. the-job training (OJT) for hospital doctors. Surprisingly, given their ubiquity and importance, they are under-researched and inadequately understood. This article discusses key aspects of nurses’ responsibilities and the different stages in the ward-round process. Managing interruptions on the ward round Often you will be interrupted on the ward round. This can make it difficult to follow what is being said resulting in you missing vital things to document. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. 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