Lesson 1Medication management: reconciliation on admission, administration, anticoagulation, analgesia, guideline-based ACS medsGives frame for safe ward med handling, like reconcile at admit, giving practices, blood thin protocols, pain relief, and guide-based therapy for heart attacks.
Admission and transfer medication reconciliationSafe medication administration practicesInpatient anticoagulation protocols and monitoringMultimodal analgesia and opioid stewardshipGuideline-based ACS medication regimensLesson 2Documentation requirements for inpatient monitoring, medication changes, informed consent, and procedure notesReviews main record standards for ward watch, med shifts, consent, procedure notes, stressing legal, rules, talk needs for safe traceable care.
Documenting vital signs and clinical monitoringRecording medication changes and rationaleElements of valid informed consent notesKey components of bedside procedure notesUsing templates and avoiding copy-paste errorsLesson 3Laboratory and imaging follow-up while inpatient: who orders repeats and how results are reviewedExplains ordering, tracking, follow of lab and scans in hospital, clear duties for repeats, critical response, result records, talk to patients and teams.
Ordering initial and repeat diagnostic testsTracking pending and overdue test resultsResponding to critical and abnormal valuesDocumenting interpretation and action plansCommunicating results to patients and teamsLesson 4Role of Pharmacy: verification, dispensing, counseling, and high-risk medication checksExplores ward pharmacy role in med safety, order check, giving flows, high-risk checks, patient advice, teamwork with prescribers to stop errors and best therapy.
Order verification and clinical screeningDispensing workflows and delivery timelinesHigh-risk medication double-check processesPharmacist-led patient counseling at bedsideCommunicating formulary and substitution issuesLesson 5Escalation to ICU: triggers, communication steps, and transport coordinationCovers spotting worsening, clear ICU triggers, talk paths with tools, safe move link, roles of bedside staff, quick teams, ICU docs in raise.
Physiologic and scoring-based ICU triggersActivating rapid response or code teamsUsing SBAR for ICU escalation callsPreparing the patient for ICU transferCoordinating safe intra-hospital transportLesson 6Admission unit workflows: bedside nursing assessments, monitoring frequency, and telemetry useOutlines ward flows from arrive to first day, nursing checks, watch frequency, heart monitor rules, order review, talk loops for early risk spot and steady handoffs.
Initial bedside nursing assessment elementsSetting vital sign and neuro check frequencyIndications and setup for telemetry monitoringReconciling admission orders and clarificationsHandoff communication within the unit teamLesson 7Discharge readiness criteria to consider early during inpatient stay (mobility, meds, home supports)Explains checking home readiness from admit, focus on move, med self-handle, home help, safety risks, for timely coordinated home with less return and issues.
Baseline functional and mobility assessmentEvaluating home supports and caregiver capacityMedication access and self-management assessmentIdentifying safety and readmission risk factorsCoordinating follow-up visits and servicesLesson 8When and how to request specialist consults (cardiology, cardiothoracic surgery, pulmonology) and consultant communication expectationsClarifies when to call specialists, frame clear questions, expects for heart, chest surgery, lung input, best ways for timely kind consultant talk.
Identifying clear indications for consultationFormulating focused clinical questionsPreparing concise consult request summariesExpectations for consultant follow-up notesClosing the loop on consultant recommendationsLesson 9Care planning rounds: multidisciplinary participants (physician, nurse, pharmacist, case manager), structure, and documentationDetails running team care rounds, roles of docs, nurses, pharmacists, case managers, standard plans, record expects, ways for patient-focus goal daily care.
Core team roles and responsibilitiesStandardized daily rounds agendaInvolving patients and families in roundsDocumenting plans and task ownershipEscalating unresolved issues after roundsLesson 10Surgical consults: indications, pre-op assessment responsibilities, and perioperative communicationDescribes surgery call reasons, split pre-op check tasks, around-surgery talk expects, link orders, consent, handoffs between surgery and med teams.
Common indications for surgical consultationPre-op risk assessment and optimization tasksClarifying roles of surgical and medical teamsPerioperative communication and handoffsPost-op orders, monitoring, and follow-up plans
