My friend Cheri is a very efficient medical registrar in that he reviews patients with ease quickly and thoroughly. Being a surgical registrar myself, I have often wondered whether there were some simple systematic way of reviewing patients i.e when on call or on ward rounds. I find the following system adapted in part from the CCrISP® method of evaluation and in part from his name, efficient in its being concise while being thorough at the same time.
CHERIAN
CHARTS
Pulse
Temperature
Blood pressure
Respiratory rate
O2 saturation
HISTORY
Presenting complaint
Relevant surgical history
EXAMINATION
Clinical examination findings
RESULTS
Bloods
Urine
Imaging
IMPRESSION
Clinical impression/Differential diagnosis
ADVICE
Suggestions/Recommendations i.e further tests, treatment
And finally your NAME
Signature, name, designation, bleep number
References
Iain D Anderson, Care of the Critically Ill Surgical Patient; Course Handbook 2nd edition 2003 Royal College of Surgeons of England
Acknowledgements
‘Use of the CCrISP® protocols granted with kind permission of the Critical Care Tutors Mr John Jameson FRCS and Dr Daniele Bryden FRCA on behalf of the Royal College of Surgeons of England, registered charity no. 212808’
