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Chapter-62 PICU Rounds and Documentation

BOOK TITLE: IAP Textbook of Pediatric ICU Protocols

Author
1. Khilnani Praveen
2. Joshi Vinay
ISBN
9789350903704
DOI
10.5005/jp/books/11878_62
Edition
2/e
Publishing Year
2013
Pages
9
Author Affiliations
1. Max Hospitals, Press Enclave, Saket, New Delhi, India, Rainbow Children’s Hospital, New Delhi, India, Madhukar Rainbow Children’s Hospital, New Delhi, India, Pediatric Intensivist, IP Apollo Hospital, New Delhi B-42, Panchsheel Enclave, New Delhi 110017, BLK Superspeciality Hospital, New Delhi, India; PICU Mediclinic City Hospital, Dubai, UAE, for IAP and ISCCM; BLK Super Speciality Hospital, New Delhi, India, BLK Super Speciality Hospital, New Delhi, India, Max and BLK Hospitals, New Delhi, India, BLK Superspeciality Hospital, New Delhi, BLK Superspeciality Hospital, New Delhi, India, Max Hospital, New Delhi, MAX Superspeciality Hospital, New Delhi, Apollo Centre for Advanced Pediatrics, Indraprastha Apollo Hospital, New Delhi, e-mail: praveenk@nde.vsnl.net.in, Apollo Hospital, New Delhi, Max Hospitals, New Delhi, India, Pediatric Pulmonology and Critical Care, Max Healthcare Hospitals, Saket, New Delhi and Gurgaon (Haryana)
2. Kokilaben Hospital, Mumbai, Maharashtra, India, Kokilaben Dhirubhai Ambani Hospital & Medical Research Institute, Mumbai, Maharashtra, India, (University of Toronto, Canada); (University of New South Wales, Australia), KD Ambani Hospital, Mumbai, Maharashtra, India, KB Ambani Hospital, Mumbai, Maharashtra, India, Kokilaben Dhirubhai Ambani Hospital and Medical Reasearch Center, Mumbai, Maharashtra, India, SRCC Children’s Hospital, Mumbai, Maharashtra, India, KD Ambani Hospital, Mumbai, Maharashtra, India
Chapter keywords
PICU rounds, Admission notes, Progress notes, Procedure notes, Transfer notes, SOAP notes

Abstract

There some guidelines to be followed by the doctors and the staff members for admission and daily PICU rounds. There are some admitting orders that have to be followed on an unstable patient (like shock, mechanical ventilation, and encephalitis) who is admitted in PICU. Information should be presented on daily PICU rounds by the registrar or related staff member. The documentations should be clear and concise. Some of the details to be presented in the documents include admission notes, progress notes, prescriptions, procedure notes, transfer notes, and discharge summaries. The chapter here discusses in detail about the contents that has to be present in admission notes, progress notes, procedure notes, transfer notes, discharge summaries and SOAP note.

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