| Course | PA 616 Clinical Clerkship - Surgery |
|---|---|
| Week | 2 |
| Paper type | Pre-rounding data sheet |
| Length | About 540 words, 5 pages |
| Format | APA 7 student paper |
| School | Chamberlain University |
| Program | Master of Physician Assistant Studies (MPAS) |
| Updated | October 2026 |
Free sample paper for PA 616 Week 2
Pre-Rounding Data Sheet for Six Surgical Patients at 05:30: Identical Blocks, Every Number With Its Clock Time and the Previous Value Beside It, Not-Obtained Items Timed and Two Lines of My Own per Patient
Student Name
Chamberlain University
PA 616: Clinical Clerkship - Surgery
Instructor Name
Month Day, Year
Pre-Rounding Data Sheet for Six Surgical Patients at 05:30: Identical Blocks, Every Number With Its Clock Time and the Previous Value Beside It, Not-Obtained Items Timed and Two Lines of My Own per Patient
How the Sheet Is Laid Out
Each patient has a block of the same shape: identifiers and operation day; vital signs with time; intake and output with time; drains and tubes; laboratory values with the previous value; medications changed overnight; my two lines. Numbers carry their clock time, because a 22:00 temperature and a 05:00 temperature mean different things.
Block 1: C.N., 44, Bed 14
Laparoscopic Heller myotomy with Dor fundoplication, postoperative day 1, for type II achalasia, the manometric subtype with the most favorable response to treatment (Vaezi et al., 2020).
Vitals 05:00: temperature 37.4 (22:00: 37.6), pulse 84 (22:00: 92), blood pressure 124/76, saturation 97 percent on room air.
Intake 00:00 to 05:00: intravenous 500 mL; oral sips 120 mL. Output: urine 450 mL.
Drains: none. Nasogastric tube: none.
Labs 04:30: hemoglobin 12.8 (preoperative 13.4); white count 10.2 (none previous).
Overnight: ondansetron once at 01:00 for nausea.
My lines: no chest pain, no shortness of breath, swallowing sips without regurgitation. Esophagram scheduled 09:00 before diet advance.
Block 2: P.R., 61, Bed 16
Open ventral hernia repair with mesh, postoperative day 2.
Vitals 05:00: temperature 37.2 (prior 37.0), pulse 78, blood pressure 138/82.
Drains: two closed-suction drains, 40 mL and 25 mL serosanguinous since 18:00 (previous 12 hours: 85 and 60).
Labs: not obtained, not ordered for today.
My lines: walking with a walker; drain output falling.
Block 3: A.V., 23, Bed 18
Laparoscopic appendectomy for perforated appendicitis, postoperative day 3.
Vitals 05:00: temperature 38.3 (22:00: 37.9), pulse 104.
Labs 04:30: white count 15.6 (day 2: 12.1).
My lines: new fever and rising white count on day 3 after perforated appendicitis; abdomen more tender in the pelvis. Flagging for the resident before 06:00.
The flag is written at the top of the sheet as well as in the block, because a new fever on day 3 after a perforation can mean an abscess and is the one finding this morning that may change the day's plan.
Blocks 4 to 6
D.F., 72, postoperative day 5 after small bowel resection: diet advanced, bowel function returned. B.T., 55, postoperative day 1 after laparoscopic cholecystectomy: ready for discharge on examination. O.M., 49, admitted overnight with small bowel obstruction, nasogastric output 800 mL since 23:00.
Each of these blocks has the same fields as blocks 1 to 3 on the full sheet; they are shortened here only for length.
Not Obtained, With a Time
A.V.'s 04:30 blood culture was not drawn because the phlebotomist could not access a vein; recorded as "not obtained, 04:40," and flagged to the nurse.
Two Lines That Are Mine
The last two lines of each block are my observation, separate from the numbers, so the team can tell the data from my reading of it.
References
Vaezi, M. F., Pandolfino, J. E., Yadlapati, R. H., Greer, K. B., & Kavitt, R. T. (2020). ACG clinical guidelines: Diagnosis and management of achalasia. American Journal of Gastroenterology, 115(9), 1393-1411. https://doi.org/10.14309/ajg.0000000000000731
The Chamberlain PA 616 Week 2 instructions
The second week asks for a pre-rounding data sheet laid out so the eye lands in the same place on every patient. Give each patient a block of fixed shape, and keep the blocks matching down the page. Every number should carry its clock time, since a temperature at 22:00 and one at 05:00 mean different things, and the previous value should sit beside it so the trend is visible. Items not obtained should be written as not obtained, with a time and reason, rather than left blank. End each block with two lines that are yours: your observation, kept separate from the data. Abbreviations are acceptable where your service uses them consistently. If your section supplies a blank template, the work is in filling it accurately.
How the PA 616 Week 2 example is put together
An opening section sets the block order: identifiers and operation day, timed vitals, intake and output, drains and tubes, labs with previous values, overnight medication changes and two student lines. Block 1 gives C.N. on the first postoperative morning, with the manometric subtype noted and Vaezi et al. (2020) cited, with vitals, intake, a hemoglobin of 12.8 against 13.4, one dose of ondansetron and a 09:00 esophagram. Block 2 gives a hernia repair with drain outputs falling from 85 and 60 to 40 and 25. Block 3 flags a day 3 fever of 38.3 and a white count rising to 15.6 after perforated appendicitis. Three short blocks follow. A section records a blood culture not obtained at 04:40, and a final section explains keeping the student's lines separate.
PA 616 Week 2 rubric: what full points look like
Pre-round sheets lose the most when blocks vary in shape, forcing the reader to search each patient for the same item. Next comes numbers without times or without the previous value, which hides trends. Graders deduct when missing items are left blank rather than marked not obtained with a time. Faculty reward a fixed block order, timed values, comparisons beside each number and the student's two lines kept separate from the data. Flagging a worrying trend early, such as a new fever on day 3, shows judgment. Accuracy and legibility are checked. Citation of any source used, in APA form, completes the rubric.
Common PA 616 Week 2 mistakes, and how to avoid them
Pre-round sheets most often fall short by listing values without times, so a reader cannot tell whether a temperature was at midnight or dawn. Another common problem is mixing the student's interpretation into the data. Some sheets also leave a blank where a test was not done, which reads as normal. If your service's patients are different, send the operations, days and the values you collected; a sheet prepared for you would give each patient the same block, time every number, place the previous value beside it, mark items not obtained and add two lines of observation. If your section supplies a template, the same content would fill its boxes.
Get a PA-616 Week 2 example written to your instructions
Send the sheet template your site uses if there is one, together with the week's instructions and the case your section supplied, and a custom PA-616 pre-rounding sheet is built to that layout rather than to a generic grid. It returns inside 24-48h and the first is free. Where no template exists, the sample proposes one and says why.
More PA 616 papers and MPAS samples
- PA 616 Week 1: Surgical Service Chain Post
- PA 616 Week 3: Service Census Update
- PA 616 Week 4: Case Preparation Card
- PA 616 Week 5: Operative Note Draft
- PA 616 Week 6: Postoperative Check Note
- PA 616 Week 7: Procedure Log Summary
- PA 616 Week 8: Chief Resident Feedback Reply
- PA 614 Week 2: Shift Sign-Out Brief
- PA 612 Week 2: Admission History and Physical
- PA 610 Week 2: Family History Pedigree Map
- PA 608 Week 2: Blueprint Mapping Exercise
PA 616 Week 2 questions, answered
My section gave us a blank sheet to fill in. Is there anything left to write?
A supplied layout removes one decision and leaves the harder one. What goes in each box, how much of a night fits there, which figures earn a line and which stay off, and what the two judgment lines at the foot say are all still the writer's. Sections handing out a grid are marking those choices and not the ruling of lines, and a filled template can be excellent or useless.
How many patients should the sheet cover?
Whatever number your section names, and where it names none, a service of five or six is the usual shape because it is enough for the layout to have to work. One patient does not test anything: the value of a pre-rounding sheet only appears when the same block has to be filled repeatedly and read in order without pausing.
Can abbreviations be used, or does the sheet have to be written out?
Abbreviate, and say somewhere which set you are using. This is one of the few documents on the clerkship where shorthand is the correct register rather than a lapse, because it is written for one reader who shares the vocabulary. The exception is anything that would be ambiguous between two services, which gets written out in full even where it costs a line.
Where can I find a free PA 616 Week 2 sample paper?
A complete PA 616 Week 2 pre-rounding data sheet for six surgical patients in identical blocks with timed values is on this page.
Which patient is flagged in the PA 616 Week 2 sample?
The day 3 perforated appendicitis patient, whose temperature rose to 38.3 and white count to 15.6, flagged to the resident before 06:00.