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CS100
Making Interdisciplinary Rounds a Reality in a Small Community Hospital
By Martha Gooding, & S. Mattison, Seton Northwest Hospital, Austin, TX
For further information, please contact: Mgooding@seton.org
Purpose: Interdisciplinary rounds (IDRs) are a valuable tool for improved patient outcomes and increased staff professionalism. Providers from all disciplines are challenged to increase collaboration and move to seamless patient care. We needed to make IDRs a reality for critical care patients in our six bed ICU
Description: The ICU nurse manager met with managers of pharmacy, respiratory therapy, social service, dietary, physical therapy, pastoral care, and case management as well as ICU nursing staff to discuss benefits of patient care rounds recommended by the Institute for Healthcare Improvement. Each manager agreed to either attend the rounds or send a representative three days per week. Reminders are posted and sent via email. The ICU manager leads the rounds, moderates, and documents the discussion. Each ICU RN presents her patient’s case and plan for the day. Everyone can ask questions of other disciplines and request input and advice on the plan of care for that patient. The patient and family are included in the rounds and are free to listen, ask questions, or present ideas. Physicians are encouraged to attend.
Evaluation/Outcomes: Collaboration between the disciplines has improved. The rounds save the RNs time in being able to contact other departments directly instead of by computer or phone later in the shift. The nurses like being able to ask questions or request opinions of other team members. Physicians actively participate when on site. Families react positively to being included and to the knowledge that the entire healthcare team is involved in the care of their loved ones. The entire team can help formulate the goal for the day for each patient. The rounds are usually finished within 30 minutes. Other disciplines seldom have to be reminded about their standing obligation to the rounds. Staff feel timely referrals to other departments positively impacts the care of the patients and contributes to shorter ICU stays
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