Increase Nursing Involvement with Interdisciplinary Bedside Rounds

[jehaley]

Hi!

I am working on a project to increase nurse presents at interdisciplinary bedside rounds. Currently the team (Resident, attending physician, pharmacist, and fellow) round on patients in the morning (between 9am - 12pm). Depending on the fellow/resident, they call the nurse right before they go into the room to do bedside rounds. Our nurses would really love to be present for these rounds, but a lot of times they are either not called or are called last minute and unable to attend. We are hoping by increasing their presents at rounds it will also improve collaboration and communication between the medicine and nursing teams.

Does anyone work at a hospital that has high rates of nurses being present at these bedside rounds? What tools did you use to increase nurse presents? Has anyone done a project similar to this?

Thank you in advance for all of your help and input!

[Miss.LeoRN]

Our hospital has a collaborative meeting so to speak. I work on a cardiac pcu floor. It's much too difficult to get nurses at the bedside at the exact time the doctor makes his rounds. Virtually impossible, even though a lot of nurses will be on the hunt for the doctor so they can be there when he goes in the room. Doesn't always work. Different patients will have different doctors. So what they do is later in the morning, I think it starts at like 10-1030, is have all care coordinators, physical, surgical, cardiac, or whomever is involved with a patients care briefly meet up and discuss the plan of care for the patient. Ratio is usually 4 on the unit and typically report doesn't take more than 10 minutes.

[Dragonfly949697]

I work on a med surg tele unit that does that. We all meet at nurse station at a set hour every day. Very helpful in collaboration and communication to produce better pt outcomes.

[guest769224]

First off, it's presence, not presents.

Secondly, yes, as an RN on my unit I am expected to present daily rounds in front of the attending, RT, social work, case manager, dietitian, and the remainder of the rounding team. I really make sure to research my patient beforehand so I can give current up to date, correct information.

I understand in teaching hospitals the interns and residents are expected to present. The nurse should be present to correct misinformation from the physicians, which happens more often than you would think. When a patient was too unstable, the RN requested rounds to be held at the bedside in the room, or doorway, to be present and convey accurate info.