Contents of this page: clerking proforma, ward round template, SAU clerking checklist, Ward jobs list (template)

Clerking proforma

Age & sex
PC:

HPC:

PMH:

DHx:
Allergies:

FHx:

SHx:

O/E:

Obs: NEWS
Bloods:
Urine dip:
Other Ix:

Imp: ?

Plan

Ward round proforma

WR

Age & sex
Diagnoses / current issues

Recent Ix

Currently
Obs: NEWS
Bloods (date):

On review
DRAFT / PT NOT SEEN YET

Plan

SAU clerking checklist (download link)

☐ Clerking
☐ D/w Reg
☐ Patient admin
☐ VTE prophylaxis
☐ Regular medications
☐ Add to Acute Gen Surg / Urology list
☐ Prep discharge ☐ TTOs

PDF version in case the Word doc is wonky

Jobs list (download link)

Sections for
• Discharge letters (+TTOs +controlled drugs)
• Requests / others (eg ordering CTs)
• Prescriptions
• Bloods or cannulas to do
• Bloods to chase
• Blood forms that need putting out

PDF version in case Word doc is wonky

(Constructive) suggestions are welcome – send me an email at joan.loo [at] doctors.org.uk and I will see what I can do :)