Invitation |
Patients and families are invited to join daily
rounds to discuss patient care plans. If you can’t make it, let us know
other ways and times for communication. |
“We are starting rounds
shortly. We will be reviewing why Joe is in the ICU and talk about a
plan for his care as a team. Would you like to join in?” |
Orientation
|
Please let us know what you like to be called and your relationship to
the patient, and how you are involved in your loved one’s care.
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Before/at the start of rounds:
I – Introductions/Invitation
D - Definition
E - Encouragement
A – Alternatives
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Active Engagement
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Utilize the Family Note-Taking/Rounds Participation Tool to
help organize your questions and thoughts prior to rounds
|
“Are there other things you want us to know about how Joe’s doing?”
“What do you think Joe would think?”
|
Summary
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We should provide in summary:
Big Picture: “What are the main concerns today?”
Progress: “Is today better, the same or worse?
Plan: “What is the plan for today?” “What things will be
changed? Why?”
|
5 Ps Mnemonic:
Big Picture,
Progress,
Plan,
Consider:
Prognosis
Potential Problems
|
Questions
|
“Can you explain to me what you meant by SBT?”
“When do you expect him to get the breathing tube out?”
“How common is this kind of confusion?”
|
“Was there anything that you didn’t hear or understand that you’d like
to talk about later?”
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Communication
Follow-Up
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“I think I understand but our daughter should be here before we make
any decisions. Can we schedule a meeting later?”
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“I’ll have a better idea of the treatment options after I talk to your
oncologist/ review Joe’s chart…can we schedule a meeting
later?”
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