1. Welcome to
Pediatrics CTU
Heather Bhan
August 2012

2. OUTLINE

3. PAEDIATRIC CTU
• MUMC Pediatrics CTU is separated into three teams:
• Team One (pager 5301) and Team Two (pager 5302):
• General paediatric
inpatient teams
• Team Three
(pager 5303):
• Level Two Nursery

4. PAEDIATRIC CTU
• Our Wards & Who we find there:
• 3C: General Paediatric & Paediatric Surgery Ward
• 3B: General Paediatric, Adolescent Medicine &
Haematology/Oncology Ward
• 3Y: General Paediatric & Paediatric Surgery Ward
• 3Y: Step Down Unit
• 3D : Express Unit & Medical Day Care
• 4C: Postpartum Ward – Well Newborn Unit
• Level Two Nursery

5. A DAY ON CTU
• 7:15 - Handover (3H40)
• 8:00 - Teaching
• Except Wednesday
• 9:00 - Patient Care
• 10:00 – Team Rounds
• After rounds are
finished, time to
complete orders, notes
and new consults
• 3:00 - Subspecialty/ Bed
side teaching/ Simulation
• 4:30 - Handover 3C 10

6. MULTI-DISCIPLINARY ROUNDS
• Team 1:
• Tuesday 13:00-13:30
• Team 2:
• Tuesday 13:30-14:00
• Team 3:
• Thursday 13:00-13:30

7. TEAM LISTS
• Team lists are located on the Shared Drive through Citrix
• If you do not have access, please contact Skye Levely
(slevely@mcmaster.ca)
• Please update the lists everyday and include any overnight /
weekend instructions
• Team lists MUST be printed off with ALL new admissions and
be ready for the new day team BY 7:15am
• Remember: The patient lists contain confidential information!
Do not leave printed copies in the handover rooms or on 3C!

8. HANDOVER
• Handover starts promptly at 7:15 (3H40)
• The on-call residents briefly review working-diagnoses of new
admissions and any over-night team issues
• Should limit handover to the pertinent positives/
negatives, impression and plan
• Handover to on-call team occurs at 4:30 – 3C10
• Please remember that off-service paediatric residents cross
cover CTU on-call and may not know the patients on the ward.
Each patient should be handed over
• Please highlight any sick patients and any tasks/labs that need
to be reviewed overnight

9. ST JOSEPH’S CTU
• St Joseph’s
• Level 2 Nursery & Post
partum ward consults
• Labour and Delivery
• General pediatric
outpatient clinic some
afternoons

10. A DAY ON ST. JOSEPH’S CTU
• 7:30 - Handover (3OBS Conference Room)
• 8:00 - Teaching (Monday/ Thursday)
• 9:00 - Patient Care
• 10:00 – Team Rounds
• After rounds are finished, time to complete orders, notes and
do new consults
• 1:00 - Teaching/ Clinic/ Patient Care/ Consults
• 5:00 - Handover (3OBS Conference Room)

11. DOCUMENTATION
• Every patient requires a daily progress note
• DO NOT TAKE PAGES OUT OF THE CHART TO WRITE YOUR
NOTE FOR THE DAY AND THEN RETURN
• Leave the sheets in the chart and write your note at the chart
• On Fridays, each patient should have a more detailed note
outlining the treatment plan for the weekend, especially if
the patient is to be discharged
• Please try to have planned weekend discharges organized (ie
prescriptions given to parents, appointments booked, dictation
completed etc).

12. DOCUMENTATION CONTINUED…
• Remember: Exact
details (eg labs and
vital signs) are part
of the electronic
chart and nursing
notes
• It is important to
capture these, BUT
is more important
to highlight trends
and interpretation

13. DOCUMENTATION CONTINUED…
• The most important part of your note is
the impression and plan
• Outline the rational for pursuing one
treatment vs. another, or for changes in
management plan
• Include the working differential
diagnosis, (especially on chronic patients) and
why they are still in hospital

14. DOCUMENTATION CONTINUED…
• With admission order sets on call please admit as follows:
• Admit to General Paediatrics, Team 1 (or 2) under Dr.
MRP, with Dr. On-call staff to cover until 8am

15. DICTATIONS
• Your green book has templates for
paediatric dictations
• Every consult and discharge requires a
dictation to be done within 24 hours of
admission/discharge
• When dictating, ensure that you
indicate the admitting staff (NOT Team
1 or Team 2) and please SPELL THEIR
NAME