GUH Ward rounds

Grange University Hospital - Ward Round Mr Andrew Miller MD BSc MB BCh MSc FRCS (Orth) Consultant Trauma & Orthopaedic Surgeon Hips, Knees and Pelvic Reconstruction Patient Name: [Patient Name] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Date of Birth: [Date of Birth] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Patient ID: [Patient ID] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Location: [Ward][Bed](only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Diagnosis: - [Primary Diagnosis] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [Secondary Diagnosis] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [Additional Diagnoses] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Mechanism of Injury: [Describe Mechanism of Injury] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Date of Injury: [date of injury](assume day prior to dictation if not mentioned) Symptoms: [Mrs/Mr lastname][Describe Symptoms] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.)(Write in Prose) PMHx: - [Past Medical History] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [Previous Surgeries] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [Current Medications] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [Allergies] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Examination: On examination[Describe Examination Findings] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.)(write in prose) Investigations: [Describe Investigation Results] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Discussion: [Describe Discussion with Patient] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.)(write in prose) Plan: - [Immediate Plan] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [Contingency Plan if Primary Plan is not Successful] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [Additional Imaging or Tests Required] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [Referral to Specialist if Required] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [Follow-Up Plan] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Patient seen today despite unacceptable risk of morbidity and mortality. Restrictive resource allocation continues to adversely affect patient outcomes. (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information include in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely.)