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Home > Consulting > Preparing for Daily Rounds in Nursing Home

Preparing for Daily Rounds in Nursing Home

Gathering Information

Review patient charts and medical histories

Check for any new admissions or discharges

Update the list of patients assigned to each nurse

Gather relevant lab reports, test results, and vital signs data

Verify any changes in medication orders or treatment plans

Communication and Coordination

Coordinate with other healthcare professionals involved in patient care

Communicate with nurses and nursing assistants to understand any immediate concerns or issues

Schedule a meeting with the nursing home staff to discuss any significant updates or changes

Physical Preparation

Ensure that necessary equipment, such as stethoscope, thermometer, and blood pressure cuff, is available and functional

Organize patient records and charts in a logical order for easy access during rounds

Carry any required documentation forms or templates for recording observations and assessments

Prioritization and Planning

Prioritize patients based on the severity of their condition or immediate needs

Identify any patients requiring urgent attention or intervention

Plan the order of patient visits to maximize efficiency and minimize disruptions

Patient Assessment

Conduct a thorough physical examination of each patient, including vital signs, respiratory assessment, and neurological assessment

Observe and document any changes in skin integrity, cognitive function, or behavior

Evaluate pain levels and assess the effectiveness of pain management interventions

Medication Review

Review medication administration records (MAR) for accuracy and completeness

Assess medication adherence and identify any discrepancies or potential drug interactions

Discuss medication-related concerns with the nursing staff and pharmacists if necessary

Care Plan Evaluation

Review the care plans for each patient and ensure they align with their current condition and goals

Evaluate the implementation of care plans and make necessary adjustments

Collaborate with the interdisciplinary team to address any barriers or challenges in care delivery

Documentation and Reporting

Document all observations, assessments, and interventions accurately and promptly

Communicate significant findings or changes in patient status to the nursing home staff, physicians, and other healthcare providers

Complete any required incident reports or adverse event notifications

Follow-Up and Continuity of Care

Provide feedback and guidance to the nursing staff regarding any necessary follow-up actions or interventions

Ensure appropriate communication and handover of information to the next shift or healthcare providers involved in patient care

Schedule any required follow-up visits or consultations with specialists or primary care physicians

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