Adult nurses- please weigh in on bedside rounding!

[enzati]

Hi everyone!

I am a pediatric nurse wanting to present and write about the great strides our area has made in physician/nurse bedside rounding. However, I've had several docs tell me that bedside rounding is not a priority in the adult world! In my literature and web searches, I've been able to find only that general consensus is that it should be occurring and giving a lot of great evidence for why - but cannot find evidence that it actually IS occurring. I'd love to get input from those of you who work with adults in all various specialties to see what the trend actually IS. Thanks SO much for your valuable time and help!!

Jaime

Columbus, Ohio

[Lev, MSN, RN, NP]

Ok, I saw bedside rounding and thought about nurse-nurse rounding. We do not have official nurse and physician bedside rounding. We have daily rounds (not at the bedside though) with the case manager and social workers and if the hospitalist and or PA is available, they will join in too. The doctors and PAs will usually update nurses after they speak privately with patients and sometimes I will go in the room with them. It is perfectly accepted for nurses to accompany the doctor and or PA into the room when they go to speak with the patient or to do a procedure.

[OCRN3]

Some doc's want to do rounding with the nurse in med/surg and some don't. It can be a good idea if the patient is needy and has lots of questions. It's good for the nurse to see what the doctor actually tells the patient so there is no confusion. I always found it helpful, but it's not a policy or anything where I work.

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[generalRN2008]

The management and staff would like this but when you have 6 patients with different docs who show up around the same time it will not happen. Now if the doc happens to run into in the hall or the pt room it does happen

[Ruby Vee, BSN]

We do bedside rounding religiously every morning. The intensivist, resident physicians, pharmacist, any pharmacy residents or students, nursing and respiratory therapy (if they anticipate ventilator changes.) Evening rounds happen intermittently and at the whim of the intensivist.

[tokebi]

We recently implemented this on our hem/onc/BMT floor. The attending, residents, NPs, pharmacists and RNs will round on each patient in the morning as a group, just outside the room. We have great attending physicians who are genuine in their effort to bring nursing into the center of the discussion.

I like it a lot. It has been an eye-opener to listen to the complex medical discussions and I learn something fascinating every day. It is also a great way to bring up nursing concerns so that the medical team and nursing team will be on the same page. And by hearing what the medical team is thinking, I can plan my days better and most importantly, tailor my patient teaching to the most relevant on that day.

Downside is that the rounding occurs during the most busiest time for RNs with assessment, med pass, transfusions, etc, but nothing that time-management acrobatics couldn't solve.

[loriangel14, RN]

I can't imagine getting everyone to come at the same time.Our doctors come when they want to.Some don't come every day.

[krisiepoo]

I just have to giggle because everytime I see the topic of this post I think, "how can children be nurses" ... oy my brain hurts :)