q about pre-rounding

[stoic]

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what's up -

i'm just wondering what all "pre-rounding" entails for med students? do you guys just come in early to check on patients and follow their progress so you're ready to present? do you order labs? make coffee?

thanks,
s

 

[daisygirl]

what's up -

i'm just wondering what all "pre-rounding" entails for med students? do you guys just come in early to check on patients and follow their progress so you're ready to present? do you order labs? make coffee?

thanks,
s

pre-rounding in surgery is done so that you'll be ready to present your patients during formal rounding. Pre-rounding entailed getting my butt to the hospital by 5am (which really meant 5:15 for me 😳 ) and checking up on my patients. Formal rounds began at 6.

 

[Spang]

pre-rounding in surgery is done so that you'll be ready to present your patients during formal rounding. Pre-rounding entailed getting my butt to the hospital by 5am (which really meant 5:15 for me 😳 ) and checking up on my patients. Formal rounds began at 6.

You see your patients before you round as a team. You write a SOAP note and gather the labs and studies from that day (usually "pending" at that un-godly hour), etc. It takes me about 20 min/patient now, 30 if patient is in the ICU and one day last week I did, for real, make coffee on the floor because I had forgot mine and the nurse's station was out 😎

Spang

 

[GeddyLee]

Essentially, Pre-rounding is your opportunity to pretent to be a doctor before the team gets there and turns you into the team secretary/scut-monkey/gimp.

 

[KyGrlDr2B]

Basically you'll want to come in and see what happened/how pt was feeling overnight or since the last time your team rounded. You'll get vitals and I/O's and any morning labs that may be back. You'll write your note or at least begin it. then you'll present all that info on rounds. That's the gist of it. When you first start out, you are slow as crap, but the more practice you get the quicker you are. 🙂

 

[DarksideAllstar]

Actually, I have noticed a regression in the efficiency of my patient visit and SOAPs since I left surgery. What used to take 15 minutes now takes closer to 30 minutes. I can only assume its because I am carrying 3 patients instead of 7-8, not because I am getting dumber by the day. Anyone else notice a trend similar to this?

 

[Idiopathic]

I make an effort to limit my lab gathering/SOAP note to no more than 5 minutes per and my patient visit to no more than 10 minutes. If I take >15 min on a patient I get really behind.

 

[Seaglass]

What used to take 15 minutes now takes closer to 30 minutes. I can only assume its because I am carrying 3 patients instead of 7-8, not because I am getting dumber by the day. Anyone else notice a trend similar to this?

It's actually because the surgeons don't tend to care about any of the information you gather, so you don't gather it. It's very efficient.

 

[stoic]

It's actually because the surgeons don't tend to care about any of the information you gather, so you don't gather it. It's very efficient.

so for future reference I should just ask if my patients have farted yet, check to see that they're still alive and not about to die, and then move on?

 

[daisygirl]

so for future reference I should just ask if my patients have farted yet, check to see that they're still alive and not about to die, and then move on?

Don't forget to ask them if they've had a bowel movement

 

[Winged Scapula]

Don't forget to ask them if they've had a bowel movement

Ahh...but farting is so much more important than having a BM (at least to us surgeon types). 😀

 

[Seaglass]

I know Kim, I've been on rounds with you.

 

[GeddyLee]

It's much more efficient if you limit patient interaction to about 2 minutes.

 

[Blade28]

I tend to just ask the basics, every time...F/C, N/V, CP, SOB, flatus, BM, tol diet. When I'm lazy that just becomes flatus, BM, tol diet. 🙂

 

[phoenixsupra]

Essentially, Pre-rounding is your opportunity to pretent to be a doctor before the team gets there and turns you into the team secretary/scut-monkey/gimp.

Ha ha. Very true