PEDIA SERVICE WARD

Things Needed:
1. BP cuff – child and adult cuff (neonatal cuff not necessary but convenient if at least 1 per group have)
*should BP all sick patients especially nephro & cardio cases
2. Stethoscope (pedia steth not necessary)
3. AXILLARY thermometer
*Fever = 37.5 but give Paracetamol at 37.8 since 37.5 -37.7 can still do tepid sponge bath
4. Pulse Ox (at least 1/grp) – not for PR, but for occasional O2sat reading
5. Otoscope, Ophthalmoscope (at least 1/grp)
6. Neuro paraphernalias
7. Scrubs – always bring!
8. TD card, notebook, trodat and mini calculator
9. Helpful if you always bring your laptop with you

Daily Routine:
1. Be at conference room 7am and sign attendance sheet
2. 7:30 am – bedside rounds & endorsement by JIOD with residents & everyone
3. 8am – Admission or discharge conference with consultants
4. Daily work per status

Things to do per status:

Time Work
PRE DUTY 7am to 4pm  Monitoring from 7am to 4pm
 If there is admission from 7am to 2pm – history & PE, paperworks
 Discharged patients’ 1st ff-up (treatment room) – SOAP then refer
to resident
DUTY 12nn to 12nn  Monitoring from 4pm to 7am
the next day  If there is admission from 2pm onwards – history & PE,
*Except Tues & paperworks
Fri – 7am for  Paperworks (Doctor’s orders)
staff  Weigh patients (10pm)
conference  Study for Adcon
FROM DUTY *Sunday – 8am  PE of patients with SOAPing (usually 6am)
*S includes Appetite/Suck, Activity, UO, Bowel mov’t & subjective
complaints
 Compute UO of patients
*for Saturdays, pre and from should sign the attendance at 7am; for duty, sign the attendance before
going to course audit at 8am
*skeletal duty: pre – 8am to 12nn, Duty-8am to 12nn next day, From-goes home at 12nn

Paperworks: (see sample to be given in a flashdrive)

 History & PE printed draft within 6 hrs  let resident check then print final
 Case discussion (theoretical from Nelson correlated to s/sx of patient)
 Clinical Abstract  per day typewritten
 Therapeutic index  tabulated drugs of patient
 Growth chart (get from conference room), plot and interpret z score that can be seen at the back
 Discharge summary (always update)
Admissions:
 Stand by at treatment room (Pre & Duty)  VS of patient, get Ht/length, weight in kg,HC,CC,AC
 HPI with resident, if wala pa, get other parts of history
 Doctor’s orders
 Update admission logbook & PPS

Discharges
 Update discharge summary (course in the ward, SOAPing)
 4 copies
 Do tagubilin papers, one in English to be inserted on the chart , one in tagalog to be given to the
patient

JIOD
 know all service patients (better to memorize by heart)
 to endorse during bedside rounds
 endorse admission on Adcon
 rundown of patient updates

Nook Rules:
 No sleeping especially on office hours 7am to 5pm (for those duty, you can bring mattresses from
the lounge, but be sure to do so when residents are also going to sleep and clean it up before 6am
the next day)
 No eating except for duty dinner and weekend duties
 Always always keep it clean and orderly