Daily Rounds Presentation

"[Patient name] is a [age] [sex] with [PMH] presenting with [diagnosis], now on ICU day ___, [doing well / clinically stable / concerning for ___]."

• Significant events:
• Acute issues addressed:
• Procedures performed:

• Temp: Max ___ / Min __
• HR: ___ bpm
• BP: ___/___ (MAP: ___)
• RR: __
• SpO₂: ___% on __
• I/O: In: ___ | Out: ___ | Net: ___ | 24h balance: __

• (Active drips and rates)

• Mode: ___ | FiO₂: ___ | PEEP: ___ | RR: ___ | TV: ___ mL
• Peak/Plateau/Drive: ___/___/__
• SpO₂/ABG:
• Weaning today? SAT pass: ___ / SBT pass: __

• Na/K/Cl/HCO₃/BUN/Cr: __
• WBC/Hgb/Plt: __
• Glucose: ___ | Lactate: __
• Other relevant:

• CXR:
• Notable results:

• Neuro:* RASS ___, pain ___, GCS ___ → Plan:

• Cardiovascular:* MAP ___, rhythm ___, pressors (y/n) → Plan:

• Pulmonary:* vent settings/O₂ requirement, weaning → Plan:

• GI/Nutrition:* TF rate/goal, PO, bowel function → Plan:

• GU/Renal:* UOP ___ mL/hr, Cr trend, electrolytes → Plan:

• Heme:* Hgb ___ (threshold ___), anticoagulation → Plan:

• ID:* Fever (y/n), WBC, cultures pending, antibiotics day ___ → Plan:

• Endocrine:* Glucose ___, insulin regimen → Plan:

• Lines/Wounds:* (need for line change, wound check) → Plan:

• Prophylaxis:* DVT, GI, oral care, HOB ✓

• Care level: (Full / DNR-CCA / CMO)
• Barriers to ICU discharge:
• Anticipated next step: