Ward doctors’ round: This round is ideally made prior to the round of the Head of Ward. The doctors ask their patients how they feel, what complaints they have and perform physical examinations. Vital parameters are then recorded on the fever chart. Doctors review the test reports that have arrived, record the lab parameters on the fever chart and then discuss and decide on further procedures with the Head of Ward and record any decisions on the fever chart. If the doctors notice a condition immediate medical intervention, they report it to the Head of Ward or the head of the duty service prior to his or her round. After discussion they order the necessary examinations or therapy. The ward doctors administer injections, infusions or blood products that nurses are not authorized to administer. They check on their patients again during the day depending on the severity of patients’ condition.
Head of Ward’s round: The Head of Ward’s round takes place after the ward doctors’ round with the leading consultant, the ward doctor and the appointed nurse of the ward taking part. During the round the ward doctor reports on the condition of the patient and the results of test that have been received. The Head of Ward examines and questions the patient if needed and the team discuss the next steps. The Head of Ward may suggest further examinations or tests, the team discuss the diagnoses and date of possible discharge.
Head of Department round: Depending on their schedule the head of Block C or the heads of departments take a round at each ward at least once a week. The head of the department, the Head of the Ward, the ward doctor, the head nurse of the ward and the appointed nurse of the ward take part in this round.