6 Key Elements of PFCC Rounds Patients & Families Practices Providers Practices
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.
Before/at the start of rounds: I – Introductions/Invitation D - Definition E - Encouragement A – Alternatives
Active Engagement
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
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?”
Communication Follow-Up
“I think I understand but our daughter should be here before we make any decisions. Can we schedule a meeting later?”
“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?”