Produced by Galveston Shriners Burn Hospital and
The University of Texas
Medical Branch Blocker Burn Unit.
Contributors: Sally Abston MD, Patricia Blakeney
PhD, Manubhai Desai MD,
Patricia Edgar RN, CIC,John P Heggers PhD, David N Herndon MD,
Marsha Hildreth RD,
Ray J Nichols Jr. MD
Daily rounds with the attendings occur at 7:00a.m.
on weekdays and at arranged times on weekends. All wounds
should be down (i.e. without dressing) as appropriate for inspection.
Pre-rounding to resolve patient care issues is at the discretion of the
fellow. The senior resident and fellow are responsible for everything
on every patient, everyday. Students and interns who accidentally
withhold vital information from their senior resident and fellow may not
survive their rotation. Good communication is the key to outstanding
patient care. Morning rounds are usually presented by the students or
intern. The format should be similar to the daily progress note.
By recording this information on a 'cheat sheet' (available on the ward),
the student can make his/her presentation smoother and the job of writing
progress notes easier. Good students are early students.
Afternoon rounds are less formal, and generally a summary of pertinent
events of the day. Afternoon rounds are completed prior to the
off-call resident going home.
Discharge planning rounds are a multidisciplinary conference which
occur at the Shriners Burns Hospital every Wednesday afternoon at 3:00p.m. The Reconstructive Service presents first, then the Acute
Service. Late-comers are flogged. The senior resident/fellow gives
a basic presentation on every acute inpatient, which includes a very brief
summary of the hospital course, status and current needs, followed by input
from the other disciplines. Please do not sit at the central table if
you are not anticipating that you will be invited to speak.
Discharge rounds at the
Blocker Burn Unit are weekly. Nurses review
the current treatment regimen and all members of the multidisciplinary team
are expected to state any problems or concern they have for the patient.
The plan of care to address those problems is then discussed.
Multidisciplinary rehab rounds at the Shriners Burns Hospital begin
at 7:00a.m. every Thursday. Rounds includes Dr. McCauley, Dr. Huang,
and Dr. Williams (Plastic Surgery),
and a supporting cast of hundreds.
Daily patient rounds are usually incorporated into these rounds with a brief
patient presentation, but the focus is on the rehabilitation and
reconstructive needs of the patients. Each patient from both acute and
reconstructive services is examined and discussed. A majority of the
discussion will be conducted outside of the patient's room, and patients &
families should be warned of the large group coming into their room.