Patient ID

ERU Ward Round

Date: Time: Name:

Ward round lead: Hospital ID:

Date of birth:
Issues
Age: Admitted with:
Background

Progress Functional baseline

Lives at: RH ☐ NH ☐ Sheltered ☐ Home ☐
Lives with: Alone ☐ Partner ☐ Family ☐
Mobility: Independent ☐ With Aid ☐ Immobile ☐
POC: Nil ☐ OD ☐ BD ☐ TDS ☐ QDS ☐ 24h ☐ x1 ☐ x2 ☐
Cognition: Normal ☐ Delirium ☐ Dementia ☐
Recurrent falls: Yes ☐ No ☐
Comments:

Examination Investigations

NEWS
BP /
HR
RR
Sats % on
Temp °C

Impression Plan Done

1.
2.
3.
4.
5.
6.
7.
8.
Think about Ceiling of care Yes No GSF: Red ☐ Amber ☐ Green ☐ N/A ☐
Drug chart ☐ VTE ☐ For resuscitation ☐ ☐ Category: A _______ ☐ B ☐ Home ☐
Glucose ☐ Level 1/Full escalation ☐ ☐ EDD:
Catheter ☐ Fluid balance ☐ Level 2/HDU ☐ ☐
Bowel habit ☐ Nutrition ☐ Name:
Non-invasive ventilation ☐ ☐
Review IV sites ☐ Grade:
Mobilising ☐ Comments: Sign:
Pressure areas ☐
Name: Hospital ID:

Continuation sheet: