OVI Children's Hospital
Ward Round Notes Form
Patient Details
Date
Patient Name
MRN/ID
Bed Number
Attending Clinician
Current Status
Vital Signs
Parameter
Value
Temperature (°C)
Weight (kg)
Heart Rate (bpm)
Respiratory Rate
SpO2 (%)
Pain Level (0-10)
Main Complaints
Examination Findings
Systemic Assessment
System
Normal/Abnormal
Comments
Respiratory
Normal
Abnormal
Cardiovascular
Normal
Abnormal
Neurological
Normal
Abnormal
Gastrointestinal
Normal
Abnormal
Skin/Wounds
Normal
Abnormal
Plan and Updates
Medications/Changes
Procedures/Interventions
Pending Tests
Progress and Next Steps
Condition
Stable
Improving
Deteriorating
Next Steps
Clinician Name
Signature
Submit Ward Round Notes