Doctor rounds

[jetscreamer101]

When doctors come to your LTC facility, does a specific nurse go on rounds with them, or do each unit nurse go with them to see their residents? The reason I ask is that in my facility, it is expected that the supervisor go with them on rounds and take care of any orders they write.

[CapeCodMermaid, RN]

When doctors come to your LTC facility, does a specific nurse go on rounds with them, or do each unit nurse go with them to see their residents? The reason I ask is that in my facility, it is expected that the supervisor go with them on rounds and take care of any orders they write.

How big is your facility? At mine (120 beds) the unit managers do rounds with the doctors when they come in. At my last facility, either the nurse manager or me when I was supervisor would do rounds with the doc for the sub-acute patients. Mostly because I knew the 'big picture'..discharge planning and the like, and also I was good at getting them to sign all their paperwork before they left the unit....I used to stand in the doorway and not let them pass.

I think the nurse managers need to do rounds. They are the ones most with the most info about the patients.

[Ladybugsmom]

In my facility no one goes with the Dr's. They come in, ask for the chart, make their rounds and let us know if they have any new orders.

[SavageWist]

when a Dr. makes rounds on my unit i take the time to make them with him/her. i can personal talk with them and let them know what has been going on with my patient. also you get to know the Dr. and them know you so they know who they are speaking with on the phone in the middle of the night. i also feel it is out of respect also.

[CoffeeRTC, BSN, RN]

It depends. At my one place, we spoon feed the docs. Its a small place so norm the RN will drop everything and round with them.

[CapeCodMermaid, RN]

I would never let the docs loose on the floor by themselves....they would end up writing orders for meds on the Beers list or writing discharge orders for someone whose discharge plan was already in the works!

[Nascar nurse, ASN, RN]

I would never let the docs loose on the floor by themselves....they would end up writing orders for meds on the Beers list or writing discharge orders for someone whose discharge plan was already in the works!

:uhoh3: This is a disaster every time some nurse lets the Doc loose. :uhoh3:. Weird orders, orders no one can read/then Dr. mad when we call for clarification, residents reporting "new/unusual" stuff that nursing has never seen from them, etc. We ALWAYS go w/ them. Usually the unit manager goes with them.