How long are your IDT mtgs? And content?

Hospice4me · Jun 20, 2006

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, BSN, RN · Jun 21, 2006

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 · Jun 25, 2006

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 · Jul 4, 2006

30 minutes for 8-10 patients

andyg · Jul 5, 2006

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 · Jul 14, 2006

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 · Jul 14, 2006

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

RnRatchet · Jul 17, 2006

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, BSN, RN · Jul 18, 2006

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

:chuckle MD likes to lecture?

doodlemom · Jul 18, 2006

I don't like the idea of having someone sit in and read notes or sit in for any of the disciplines. When we've had this happen in out teams, things get missed and it really isn't a team meeting at all because the person who is sitting there really dosn't know the patient and cannot give much feedback. I know that a lot of hospices are going in this direction - some are having one voice for each discipline and meetings are very short. Yes, it's legal, but is it in the best interest of the patient?

RnRatchet · Jul 18, 2006

:chuckle MD likes to lecture?

Well....

if we have students or a resident that has stopped by to observe.. he likes to show off..lol

He sometimes gets off on a tangent too..

:chuckle