Lesson 1Medication management: reconciliation on admission, administration, anticoagulation, analgesia, guideline-based ACS medsProvides a framework fi safe inpatient medication management, including reconciliation at admission, administration practices, anticoagulation protocols, analgesia strategies, an guideline-based therapy fi acute coronary syndromes.
Admission and transfer medication reconciliationSafe medication administration practicesInpatient anticoagulation protocols and monitoringMultimodal analgesia and opioid stewardshipGuideline-based ACS medication regimensLesson 2Documentation requirements fi inpatient monitoring, medication changes, informed consent, an procedure notesReviews core documentation standards fi inpatient monitoring, medication changes, informed consent, an procedure notes, emphasizing legal, regulatory, an communication requirements dat support safe, traceable patient 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 an imaging follow-up while inpatient: who orders repeats an how results are reviewedExplains how laboratory an imaging tests are ordered, tracked, an followed up during hospitalization, clarifying responsibilities fi repeat testing, critical value response, result documentation, an communication to patients an 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, an high-risk medication checksExplores di inpatient pharmacy’s role in medication safety, including order verification, dispensing workflows, high-risk medication checks, patient counseling, an collaboration wid prescribers fi prevent errors an optimize 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, an transport coordinationCovers recognition of clinical deterioration, objective ICU triggers, communication pathways using structured tools, an safe transport coordination, including roles of bedside staff, rapid response teams, an ICU providers during escalation.
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, an telemetry useOutlines admission unit workflows from arrival through first 24 hours, including nursing assessments, monitoring frequency, telemetry criteria, order review, an communication loops dat ensure early risk identification an stable 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 fi consider early during inpatient stay (mobility, meds, home supports)Explains how fi assess discharge readiness from admission onward, focusing on mobility, medication self-management, home supports, an safety risks, so dat discharges are timely, coordinated, an reduce readmission an complication rates.
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 an how fi request specialist consults (cardiology, cardiothoracic surgery, pulmonology) an consultant communication expectationsClarifies when fi request specialist consults, how fi frame focused questions, expectations fi cardiology, cardiothoracic surgery, an pulmonology input, an best practices fi timely, respectful consultant communication.
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, an documentationDetails how fi run structured multidisciplinary care rounds, clarifying roles of physicians, nurses, pharmacists, an case managers, standard agendas, documentation expectations, an strategies fi ensure patient-centered, goal-directed daily care plans.
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, an perioperative communicationDescribes indications fi surgical consultation, division of preoperative assessment tasks, perioperative communication expectations, an coordination of orders, consent, an handoffs between surgical an medical 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
