Component Task: Preparation for Ward Rounds

Ward rounds is an organized review of in-patients by the health care team members. It is to discuss, make decisions and assign responsibilities to various practitioners in relation to the management of patients’ condition. The nurse/midwife has the responsibility to ensure that the needed gadgets or devices are readily available for the activity. The nurse/midwife ensures that accurate documentation is done.

Aims

·         Enhance effective communication among heath team members

·         Provide plan of care for patients

·         Keep patients informed about progress of care

·         Serve as teaching and learning experience for staff and interns

Types

·         Planned/Routine

·         Adhoc/Emergency

Requirements

A trolley containing the following:

a.      Top shelf

·         Adequate supply of tablet for documentation or the following stationery:

ü  Patient’s Medical Records

ü  Nurse’s changes book

ü  Continuation sheet

ü  Treatment sheet

ü  Investigative request forms e.g. X’ray, laboratory

ü  Prescription form

ü  Stapler with pins

b.      Bottom shelf

·         Vital signs tray

·         Diagnostic set

·         Pocket torch light

·         Measuring tape

·         Disposable tongue depressors/padded spatula

·         Neurological set

·         Receiver for used articles

·         Other trays may be set depending on the specific needs of patient

Steps

1.        Ensure the ward and its annexes are clean

2.      Ensure all patients and visitors are in bed and out of the ward respectively

3.      Conduct charge nurse’s round, note down concerns and complaints of patients

4.      Classify patients according to their needs or depending on the protocol of the unit

5.      Ensure all reports are dully filed and records are up to date

6.      Arrange patient’s medical records in the correct sequence for the rounds

7.       Facilitate rounds, present patients’ problems, concerns and progress

8.      Assist when doctor is examining the patients

9.      Give patients’ opportunity to ask questions

10.    Provide appropriate answers to patients’ questions

11.      Record all changes, directives and tasks assigned in appropriate documents

12.    Ensure patient’s notes are returned to their proper place on the rack after the procedure


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