surgery scut sheet

[myrtle]

Anyone have a good way of keeping track of patients in surgery? I looked on medfools, but it doesn't have anything that's quite right - just something where I could keep track of a bunch of patients at the same time with just the basic info/labs/etc.

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[Pinkertinkle]

how many patients do you have on average?

 

[45408]

our service used an Excel spreadsheet. The columns were something like: room number, resident assigned to that patient, name/MRN/date of birth, date of admission, very brief HPI (55 y/o M, GSW to abd), procedure performed and when, other medical problems, medications, several other columns specific to how things were done at our institution, and a "to do" section.

 

[myrtle]

how many patients do you have on average?

Not sure yet, just started!

 

[JeffLebowski]

Anyone have a good way of keeping track of patients in surgery? I looked on medfools, but it doesn't have anything that's quite right - just something where I could keep track of a bunch of patients at the same time with just the basic info/labs/etc.

My advice is to develop your own - it'll work much better.

Figure out over the first week or so what your residents/attendings/you need to track day-to-day on your patients, and make a Word document or two with the appropriate rows, columns, categories, BMP & CBC figures, imaging section, whatever.

For example, if you're on gensurg, you may want to ask about & know (present):

Subjective
New symptoms
Pain (chest, belly, head, wound)
Nausea/vomiting
Fevers/chills
Urine/BM
Diet/ambulation
Wound

Objective
Vitals
BMP & CBC
Misc labs
Imaging (new reads & pending)
I & O
Meds (what they're on)
Consults (what other services say in the chart)

To do section
e.g. (1) follow-up on carotid doppler result
(2) write post-op note at 8:30pm
(3) call pharmacy for med list

But tailor it to whatever service or team you have, and consider having one master sheet per patient to have documented stuff like labs, imaging, meds and fill it in as you go day after day and one for each day (if you have trouble remembering everything when you go to present) with more details & specifics like the above.

 

[myrtle]

My advice is to develop your own - it'll work much better.

Figure out over the first week or so what your residents/attendings/you need to track day-to-day on your patients, and make a Word document or two with the appropriate rows, columns, categories, BMP & CBC figures, imaging section, whatever.

For example, if you're on gensurg, you may want to ask about & know (present):

Subjective
New symptoms
Pain (chest, belly, head, wound)
Nausea/vomiting
Fevers/chills
Urine/BM
Diet/ambulation
Wound

Objective
Vitals
BMP & CBC
Misc labs
Imaging (new reads & pending)
I & O
Meds (what they're on)
Consults (what other services say in the chart)

To do section
e.g. (1) follow-up on carotid doppler result
(2) write post-op note at 8:30pm
(3) call pharmacy for med list

But tailor it to whatever service or team you have, and consider having one master sheet per patient to have documented stuff like labs, imaging, meds and fill it in as you go day after day and one for each day (if you have trouble remembering everything when you go to present) with more details & specifics like the above.

I may just do that! THanks all

 

[LifetimeDoc]

I've attached a scut sheet I use on surgery rotations. I would use this in addition to our patient list to record stuff I'd need for presenting and writing notes. It has...

==============
1. Support for 6 patients per sheet.
2. Lab Skeletons, with faded labels for those just starting out so you can learn how to use them: CBC, Coags, Electrolytes, etc.
3. Vitals plus space for ranges, ABG, Inputs and Outputs, Antibiotics, Diet, Drains, and extra lines for other results.

Update 04/12/2011
4. Added: systems-based assessment/plan on back, prophy, meds, and 10 checklist items.
5. Reworked: skeletons on front more suited for surgery. Changed font to fixed space, more readable.

Update 04/13/2011
6. Tweaks: added Vent, reformatted slightly
7. Added single-sheet version called "scutsheet2" (can print the same on both sides to support 6 total patients).
==============
This document is intended to be printed double-sided, and then folded in half length-wise. You can choose to print just the first page or to print it onto two single-sided pages if you want.

Attached is a DOC (for those that want to tweak it) and PDF version (prints better on all printers so the spacing isn't off).

Note: removed until tonight so I can update new ones.

 

[agonzalez06]

nm

 

[LifetimeDoc]

Bump: modified scut sheet with improvements and additions.

 

[45408]

Bump: modified scut sheet with improvements and additions.

the one file I looked at had your name in the corner, are you aware of that?

 

[Law2Doc]

Bump: modified scut sheet with improvements and additions.

These are pretty good -- there used to be something similar on Medfools I used when I was a 3rd year. You absolutely want something like this while in med school.

When you get to residency though, this kind of thing probably goes out the window in favor of a blank piece of paper folded in half where you can jot down the basics, things that need to be done, and things you need to sign out, in free form. A lot of the other stuff you learn to carry in your head, at least regarding your teams patients. But for med school don't try this.

 

[LifetimeDoc]

the one file I looked at had your name in the corner, are you aware of that?

mmm, maybe I should remove it.

 

[LifetimeDoc]

Anyone aware of a good lab skeleton for ast/alt/alkphos/bili and total protein/albumin? I had a six item skeleton, but some attendings say that's too close to the electrolytes 7 item skeleton and will lead to confusion. There doesn't seem to be a standard.

 

[J-Rad]

I'e seen this before:


(Thanks be to Caesar for this one, in case he sees this)

 

[FutureInternist]

Anyone aware of a good lab skeleton for ast/alt/alkphos/bili and total protein/albumin? I had a six item skeleton, but some attendings say that's too close to the electrolytes 7 item skeleton and will lead to confusion. There doesn't seem to be a standard.

I have seen & use the BMP skeleton but set vertically
TP Albumin
TBili D Bili
ALT AST
ALKP

 

[ebahram]

LifetimeDoc, thanks for your posts to the student doctor forum about scut sheets. How can I access the scut sheet templates that you posted? For some reason, I can't find the attachments.
Thank you again!