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