IDT meetings

Cindarella · Apr 25, 2005

Hello all...our IDT's are getting out of control...do any of you have a specific agenda that you follow, or time limit etc? :rotfl: thanks Janie

Janie: You are not alone....I have been trying to figure out what we can do to shorten the IDT. For one too much information is repeated from meeting to meeting. Too much family dynamics discussed during this time. Some is neccessary, but some could be discussed outside the meeting. Personally I think there should be some mandatory form for each team member to have filled out prior to the meeting which would include only specific changes, questiions, etc. It should be read by each member and only after every team member has done this... should we enter in to any other discussions or perhaps personal moments with patients that we might want to share. This would make it possible for those who really needed to exit the meeting to do so in a timely manner?????

soapynurse@adel · Apr 26, 2005

Our team meetings would often get out of control until we went to having a nurse scribe. This person documents all pertinent discussion and then the appropriate people sign the document and all is done. We used to have to fill out our team sheets ahead of time and that was generally a pain the you know what. Our hospice is very spread out, so for those of us who worked in the very southern part of the area, it was often difficult to get back to where the charts are.

Now, the scribe documents and suggestions for changes are made during the meeting. Usually the nurse manager or social work supervisor ran the meetings, but now the music therapist does. Don't know how that came about and not sure I approve.

Just always make sure your documentation evidences decline or improvement to help the team decide if the patient remains eligible.

Alice in VA

Cindarella · Apr 28, 2005

Our team meetings would often get out of control until we went to having a nurse scribe. This person documents all pertinent discussion and then the appropriate people sign the document and all is done. We used to have to fill out our team sheets ahead of time and that was generally a pain the you know what. Our hospice is very spread out, so for those of us who worked in the very southern part of the area, it was often difficult to get back to where the charts are.
Now, the scribe documents and suggestions for changes are made during the meeting. Usually the nurse manager or social work supervisor ran the meetings, but now the music therapist does. Don't know how that came about and not sure I approve.
Just always make sure your documentation evidences decline or improvement to help the team decide if the patient remains eligible.
Alice in VA

Thanks for the info....I will pass it on to the team

PumpkinsMami · May 14, 2005

We have team every two weeks, so it can get crazy!! The hospice I worked for before had team weekly and split the pts up. Half were discussed one week the other half were discussed the next week. We are too small now and don't think that would work for us.

Anyhow, we have an agenda that we follow every team. We first discuss discharges, then admits, then recerts and then the rest of the pts in order of next recert date. The pts we spend the most time talking about are in the first 3 categories. After that, we only discuss pts with pertinent changes. If there is no change, then we move on to the next pt. We still get out of hand on occasion, but there is someone always asking "Any changes???" to keep everyone on track.

Hope this helps!