[Cing_angels]

Today we had a nurses meeting. Most of our complaints came about the IDT meetings. We are being pushed to rush through our patients being reviewed, not really able to "discuss" what is going on. We are given about 5 minutes tops to discuss 12-20 patients a piece. Some believe the meetings are for only purposes of re-cert , not changes etc. Others believe this is a time to discuss probems etc. We were told to take our other issues such as psych social problems etc and discuss it amongst our selves. I thought the pupose of IDT was just that? Am I wrong or what? Or is it just a regulatory meeting just for recertifying etc?

[Hospice4me]

I don't know what state you are in, but if you were surveyed by our state and they found that you were having such a bare bones IDT, you would receive a condition. The purpose of IDT is to CAREPLAN on patient problems, add interventions, and allow the team members to make suggestions! Not just for recert purposes. Our IDT's last 2-3 1/2 hours depending on the team who is meeting and the number of patients. We usually go over about 25 patients in an hour.

[aimeee]

The whole purpose of IDT is to bring the whole team together to put your heads together and have everyone's input in the care planning. There is no magic number for how long that process takes. Stable patients might only take a minute or two since there may not be any changes to the existing careplan but ones with complex issues may require much much more. It does speed the process along if preliminary discussion occurs outside of team so that the salient points can be presented with options already identified so you don't get bogged down with minute details.

[jharper]

We are doing about 20 patients an hour in the IDT. We recently started bringing in the volunteer coordinator too, incase the CM might want some services.

[Flea23]

30 minutes for 8-10 patients

[andyg]

We go over about 100 patients in approx 1-1/2 hours and cover the areas actually quite well. In fact the last medicare and JCAHO surveyors sat in on the IDT meetings and was most impressed with the information we covered. I really feel it is not the "lentgh" of time but what you are able to accomplish in it. We have broken our areas down for the CM to include discussions or reports on new admits, patient with no changes and they just list them, patients with decline and patients with new problems. All our staff are involved in these discussions including Medical Director, CM, other RN's,CNA's, SW's, Chaplain's and Vol coordinator, etc. Now we truly have teams that care for the same patients all the time and they discuss these patients especially the ones with changes pretty much on a daily basis. andyg

[BeExcellent]

My IDT meetings are a cross between an open book state audit, lock down in any prison and the food fight scene in "Animal House." I am double dog honest about this. I have to take chocolate for MEDICINE during the meeting or I might pop a blood vessel in my eye. Picture this... a small conference with a table for 12. Stuff ten MORE chairs at the table and surround the table with 10 to 15 more chairs shut the doors for privacy or to deplete the oxygen faster I don't know. Picture 5 to 10 of this folks having hot flashes. We now have a room stuffed full of people and they ALL have an agenda. Did i tell you about the tree(artificial) in the corner with the stuffed monkey in it? We talk about everything from how many bites of egg consumed on a certain morning to cute pt is confused stories. All very theatrical, sometimes with sound effects! A team member was talking for 20 minutes before I realized she wasn't talking about OUR pt but the pt's roommate! It's a weekly Woodstock without the music, fun or naked babies! I don't know how long they last. Once time as we know it stood still. i dare anyone to sit in on my IDT meetings and not appreciate what they have.

[doodlemom]

Ours are too long! If we have a great deal of new admits, it's really long. 30 - 40 people, 3 hours.

[RnRatchet]

we do a weekly report with the nurses and the CSM (clinical services manager) then acts as voice for the nurses during IDT.. it has really cut down on staff having to cram all their patients in to be seen around the meeting. Besides CSM the social workers, volunteer coord. and medical director are all present. Depending on how many times we have to reign back in the Medical director, it lasts anywhere from 1.5-2.5 hours

[aimeee]

Originally Posted by RnRatchet

Depending on how many times we have to reign back in the Medical director, it lasts anywhere from 1.5-2.5 hours

MD likes to lecture?