NICU and PICU morning ward round schedule for Mon, Tue, Wed, Fri 08:00 Consultant handover 08:15 Ward round starts Bedside ward round as per flowchart 09:30 Update PSAG Ward round complete All rounding members meet in seminar room. Discussion led by PICU/NICU consultants: Staffing issues Pharmacy feedback Journal club (Tue) Difficult cases and ethics Teaching led by NICU consultant Sitting ward round finishes by 10:00 Outgoing consultant to bed meeting

NICU and PICU morning ward round schedule for Thursdays 08:00 Consultant handover 08:15 All rounding members meet in seminar room. Presentation of surgical patients Staffing issues Pharmacy feedback 08:45 Ward round starts Bedside ward round as per flowchart 10:00 Update PSAG Ward round complete Outgoing consultant to bed meeting

Ward round starts on NICU NICU and PICU morning ward round schedule for Weekends 08:15 Ward round starts on NICU 08:45 All rounding members meet in seminar room PICU handover 09:15 Ward round starts on PICU 10:00 Update PSAG on PICU and NICU Ward round complete

Key standing positions: NICU AM Ward Round Mon-Fri Footprint for Discussion Before starting the round the attending consultant: Identifies the roles of the ward round team Introduces additional staff members Reinforces hand hygiene and bare below the elbows Ward round staff: Bedside Nurse Nurse in Charge Consultant Night registrar Short day registrar Long day registrar SNAPS consultant SNAPS registrar Key standing positions: Bedside nurse by the workstation. Night registrar at the front, facing the rest of the team. Documenting registrar (with CoW) close to the front, facing the night registrar. Rest of the team fans out behind documenting registrar. Night registrar hands over Team review of: X-Rays Blood test results Prescriptions Antibiotic indication and duration Plan Plan repeated back by documenting registrar DEFAULT Next patient

Key standing positions: PICU AM Ward Round Mon-Fri Footprint for Discussion Before starting the round the attending consultant: Identifies the roles of the ward round team Introduces additional staff members Reinforces hand hygiene and bare below the elbows Ward round staff: Bedside Nurse Nurse in Charge Attending consultant Support consultant Outgoing consultant Fellow Night registrar Short day registrar x2 Long day registrar ICON Pharmacist Key standing positions: Bedside nurse by the workstation. Night registrar at the front, facing the rest of the team. Documenting registrar (with CoW) close to the front, facing the night registrar. Rest of the team fans out behind documenting registrar. Night registrar hands over Team review of: X-Rays Blood test results Prescriptions Antibiotic indication and duration Plan Plan repeated back by documenting registrar DEFAULT Next patient