Ahmed

This post is all about discharge summaries. These are also called: TTO - to take out  TTA- to take away  EDN- Electronic discharge summary  IDS- Immediate discharge summary  And you will get sick and tired of hearing this term day in and day out when you are working on a ward! However these are very important as: 1. The patients GP is notified about the patients admission and what happened 2. Any investigations the GP needs to do, any medications they need to review  3. The patient gets a copy so that they ( and their carers) know what happened in hospital and if there are any changes to their medication  4. If the patient has any outpatient follow ups.  5. If the patient goes to another trust which does not have access to the system of your trust, the discharge summary ( which is printed out and given to the patient) is what will relay all the information.  Every trust has their own IT system and after working in 5 trusts, I really struggle when ...

This post is about post take ward rounds. As I am a medical registrar, I am going to stick to medicine using examples however this can be used in any specialty.  In medicine ( and most specialties), patients are admitted via 1. Emergency to the acute medical unit/ elderly assessment unit 2. Directly to the acute medical unit from GP surgeries  3. Directly to specialty wards from clinics These patients are then 'clerked' by doctors, ACPs/ANPs, physician associates who: 1. Take a history  2. Examine the patient  3. Request relevant investigations  4. Make a management plan  I have mentioned more on this here: How to clerk patients safely and efficiently:  https://omarsguidelines.blogspot.com/2019/08/how-to-clerk-medial-patients-safely-and.html Once the patient has been clerked, they are for post take. The post take consultant usually has a doctor(s) with them who scribes/requests relevant investigations.  The consultant goes through the patients cle...