Lesson 1Medication management: reconciliation on admission, administration, anticoagulation, analgesia, guideline-based ACS medsGives frame for safe stay med handle, match at come in, give ways, blood thin rules, pain ease plans, rule heart sudden sick meds.
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 write rules for stay watch, med change, know agree, work notes, stress law, rule, talk needs for safe track 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 how lab picture tests asked, tracked, followed in stay, clear jobs repeat test, danger value answer, result write, tell patients 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 checksLooks at stay drug store job in med safe, order check, give flow, high risk med check, patient teach, work with writers stop wrong best treat.
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 see care get worse, clear ICU starts, talk paths use tools, safe move work, jobs bed staff, quick teams, ICU givers 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 useShows come unit work from arrive first day, nurse checks, watch how often, heart watch rules, order look, talk loops early risk find stable pass.
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 check go home ready from come, focus move, med self do, home help, safe risks, so go timely work together cut back come problems.
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 expectationsMakes clear when ask expert see, frame short questions, hopes for heart, chest cut, lung input, best ways quick respect 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 run team care rounds, clear jobs doctors nurses drug givers case handlers, usual list, write hopes, ways patient center goal daily 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, and perioperative communicationDescribes reasons cut see, share before cut check tasks, around cut talk hopes, work orders agree pass cut 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
