Paediatric In-patient unit
The Paediatric Medicine In-patient unit is the largest in-patient unit at SickKids with 50 beds. Approximately half of all in-patients have common paediatric conditions, such as asthma, bronchiolitis, pneumonia, sickle cell disease, urinary tract infections, seizures and gastroenteritis. The patients either reside in the downtown region or have been transferred due to the acuity or complexity of their diseases. The remaining in-patients have complex, multisystem, undifferentiated or undiagnosed conditions requiring multidisciplinary care (e.g., children with genetic, developmental and neurological conditions; children undergoing diagnostic investigations to establish diagnoses such as cancer, inflammatory bowel disease, etc.). Ninety per cent of patients are admitted via the Emergency Department and intensive care units, with the remainder admitted from other hospitals.
The In-patient Unit is composed of three teams (7B, 7C, 7D), each with a census of between 15 and 20 patients. All three teams are led by an attending physician working with one PGY-3 trainee or paediatric fellow, two PGY-1 trainees and two medical students. A parallel team comprised of senior and junior trainees and supervised by an attending physician is responsible for seeing daytime referrals for admission while three core teams are doing morning rounds. Finally, a complex care team comprised of an attending physician working along with a CNS-NP with expertise in the care of children with chronic, complex medical needs manages four to six patients on the in-patient units.
Morning rounds: 8 a.m. to noon.
Dr. Carolyn Beck
Director, Paediatric Inpatient Unit
The Hospital for Sick Children