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Interdisciplinary Rounds: Impact on Patients, Families, and Staff

HALM, MARGO A. MA, RN, CCRN, CS; GAGNER, STEVEN MS, RN; GOERING, MARY MSN, RN; SABO, JULIE MN, RN, CCRN, CS; SMITH, MAUREEN MSN, RN; ZACCAGNINI, MARY MS, RN, AOCN

Clinical Nurse Specialist:
CONTINUING EDUCATION: CE: CE feature article
Abstract

Interdisciplinary rounds are a new care coordination strategy in several healthcare settings. This article describes the process used by clinical nurse specialists in one institution to broaden existing discharge planning rounds to interdisciplinary rounds. In addition, a survey queried advanced practice nurse subscribers to two listserves, the ANPACC and CNS-L, to determine how other institutions conducted interdisciplinary rounds, including structure, membership, and leadership. As a result of the changed focus in rounds, the target institution noted greater participation by all disciplines in achieving patient and family outcomes, increased early recognition of patients at risk, and improved communication among members of the healthcare team. These findings were supported by participants in the Internet survey. It was determined that interdisciplinary rounds are a valuable mechanism for improved patient outcomes and increased staff professionalism.

Author Information

From John Nasseff Heart Hospital, United Hospital, St. Paul, Minn.

Editor’s Note: In 2003, we will publish 6 articles for which 1 to 3 credit hours may be earned as part of a CNS’s learning activities. Examination questions are provided at the end of this article for your consideration. See the answer/enrollment form after the article for additional information regarding the program.

This article has been designated for CE credit. A closed-book multiple-choice examination follows this article, which tests your knowledge of the following objectives:

1. Describe a new care coordination strategy in use in a variety of healthcare settings.

2. List key elements, including attendance, documentation, and evaluation, used in implementing interdisciplinary rounds (IDRs) on a nursing unit.

3. Identify the roles of team members, including the clinical nurse specialist (CNS) and the staff nurse, in interdisciplinary rounds.

Corresponding author: Margo A. Halm, MA, RN, CCRN, CS, John Nasseff Heart Hospital, United Hospital, St. Paul, MN (e-mail: mhalm@allina.com).

© 2003 Lippincott Williams & Wilkins, Inc.