The aim of this study was to show how communication occurs during ward round which is the most common platform for intercolleagual work between physicians and nurses. The used method was non-participant, unstructured observations and content analysis was used for the analysis. Observations were made at six different occasions at an infection unit in southern Sweden. The results showed that communication between the professions is demonstrating a hierarchical structure; however one cause for this was related to the differences in competence and field of responsibility within the professions.