{"id":18624,"date":"2019-01-17T08:56:12","date_gmt":"2019-01-17T13:56:12","guid":{"rendered":"https:\/\/www.med.unc.edu\/medicine\/?page_id=18624"},"modified":"2023-11-14T13:08:13","modified_gmt":"2023-11-14T18:08:13","slug":"bedside-rounding","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/medicine\/education\/residency\/curriculum-overview\/inpatient-experience\/bedside-rounding\/","title":{"rendered":"Multidisciplinary Bedside Rounding"},"content":{"rendered":"<p>This curriculum consisting of an eductional booklet and multiple videos serves as a reference for physicians, nurses, care managers, pharmacists, and medical students to implement a multidisciplinary bedside rounding strategy on their teams and units. Our primary goal is to refocus attention of the healthcare team to more actively engage the patient and their care partners through improved communication and efficiency on rounds.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-18625\" src=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2019\/01\/bedside-project.jpeg\" alt=\"\" width=\"450\" height=\"300\" srcset=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2019\/01\/bedside-project.jpeg 450w, https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2019\/01\/bedside-project-300x200.jpeg 300w, https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2019\/01\/bedside-project-301x201.jpeg 301w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/>Download the Educational Booklet (PDF):<br \/>\n<a href=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2019\/01\/Implementing-Patient-Centered-Multidisciplinary-Bedside-Rounds.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Implementing Patient Centered Multidisciplinary Bedside Rounds<\/a><\/p>\n<p>Read more about the project in this article:<br \/>\n<a href=\"https:\/\/www.med.unc.edu\/medicine\/news\/back-to-bedside-grant-is-awarded-to-unc-medicine-residents\/\">Back to Bedside Grant Is Awarded to UNC Medicine Residents<\/a><\/p>\n<p>Video segments include:<\/p>\n<ul>\n<li><a href=\"#introduction\">Introduction: Multidisciplinary Bedside Rounding<\/a><\/li>\n<li><a href=\"#preround\">Pre-Round Huddle<\/a><\/li>\n<li><a href=\"#contacting\">Contacting Nurse Before Rounding on Mutual Patient<\/a><\/li>\n<li><a href=\"#effective\">Effective Multidisciplinary Bedside Rounding<\/a><\/li>\n<li><a href=\"#toobrief\">Ineffective Rounds: Discussion Too Brief<\/a><\/li>\n<li><a href=\"#jargon\">Ineffective Rounds: Too Much Use of Medical Jargon<\/a><\/li>\n<li><a href=\"#unnecessary\">Ineffective Rounds: Unnecessary Full Team Rounding<\/a><\/li>\n<li><a href=\"#sensitive\">Bedside Rounding with Sensitive Medical Information<\/a><\/li>\n<\/ul>\n<p>Full-Length version is viewable below<\/p>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n<h2>Multidisciplinary Bedside Rounding &#8211; Full-Length Video<\/h2>\n<p>This educational video demonstrates how to perform multidisciplinary bedside rounds and some of the common pitfalls with implementation.<\/p>\n<\/div>\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n\n<!-- iframe plugin v.5.2 wordpress.org\/plugins\/iframe\/ -->\n<iframe loading=\"lazy\" width=\"450\" height=\"253\" src=\"https:\/\/iplayerhd.com\/player\/video\/e5febff6-e480-4dc9-a784-eec97b93229a\" allowtransparency=\"true\" frameborder=\"0\" scrolling=\"no\" allowfullscreen style class=\"iframe-class\"><\/iframe>\n\n<\/div>\n<\/div>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n<h2><a id=\"introduction\"><\/a>Introduction: Multidisciplinary Bedside Rounding<\/h2>\n<p>Traditional rounding styles often times leave out key members of the healthcare team: the patient and their care partners.<\/p>\n<p>This project refocuses attention from papers and computers towards those that need our help during a vulnerable time.<\/p>\n<\/div>\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n\n<!-- iframe plugin v.5.2 wordpress.org\/plugins\/iframe\/ -->\n<iframe loading=\"lazy\" width=\"450\" height=\"253\" src=\"https:\/\/iplayerhd.com\/player\/video\/2a6de302-2df0-45b1-b94d-05f6c6f9386d\" allowtransparency=\"true\" frameborder=\"0\" scrolling=\"no\" allowfullscreen style class=\"iframe-class\"><\/iframe>\n\n<\/div>\n<\/div>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n<h2><a id=\"preround\"><\/a>Pre-Round Huddle<\/h2>\n<p>Organization and prioritization of the multidisciplinary team\u2019s morning is crucial for patient care and effective discharge planning.<\/p>\n<\/div>\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n\n<!-- iframe plugin v.5.2 wordpress.org\/plugins\/iframe\/ -->\n<iframe loading=\"lazy\" width=\"450\" height=\"253\" src=\"https:\/\/iplayerhd.com\/player\/video\/b3e65ebb-4589-413e-a8a4-70dcf41cf281\" allowtransparency=\"true\" frameborder=\"0\" scrolling=\"no\" allowfullscreen style class=\"iframe-class\"><\/iframe>\n\n<\/div>\n<\/div>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n<h2><a id=\"contacting\"><\/a>Contacting Nurse Before Rounding on Mutual Patient<\/h2>\n<p>Before arriving to a regionalized unit, alert the primary nurse for the first patient planned to be seen so they will have a chance to complete their current task and join the team for rounds at the bedside.<\/p>\n<\/div>\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n\n<!-- iframe plugin v.5.2 wordpress.org\/plugins\/iframe\/ -->\n<iframe loading=\"lazy\" width=\"450\" height=\"253\" src=\"https:\/\/iplayerhd.com\/player\/video\/2bdbe23e-89e3-40a4-bab4-41fa2918a931\" allowtransparency=\"true\" frameborder=\"0\" scrolling=\"no\" allowfullscreen style class=\"iframe-class\"><\/iframe>\n\n<\/div>\n<\/div>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n<h2><a id=\"effective\"><\/a>Effective Multidisciplinary Bedside Rounding<\/h2>\n<p>Focusing rounds around the patient and their care partners involves a multidisciplinary presence including the medical team, primary nurse, and pharmacist. The entire team is introduced to emphasize functioning as one cohesive unit. The primary communicator sits at eye-level with the patient and the plan for the day is actively discussed in detail, involving input from the patient and their primary nurse.<\/p>\n<\/div>\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n\n<!-- iframe plugin v.5.2 wordpress.org\/plugins\/iframe\/ -->\n<iframe loading=\"lazy\" width=\"450\" height=\"253\" src=\"https:\/\/iplayerhd.com\/player\/video\/33db6304-10aa-4457-8056-9ae6c4cc6667\" allowtransparency=\"true\" frameborder=\"0\" scrolling=\"no\" allowfullscreen style class=\"iframe-class\"><\/iframe>\n\n<\/div>\n<\/div>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n<h2><a id=\"toobrief\"><\/a>Ineffective Rounds: Discussion Too Brief<\/h2>\n<p>It can be tempting to only give a brief update to patients and not discuss specific details thus hindering the medical decision making process. This is ineffective as the team often has to re-discuss plans later and may miss key information.<\/p>\n<\/div>\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n\n<!-- iframe plugin v.5.2 wordpress.org\/plugins\/iframe\/ -->\n<iframe loading=\"lazy\" width=\"450\" height=\"253\" src=\"https:\/\/iplayerhd.com\/player\/video\/7efb5b73-6674-4e4d-bc22-4fd064ae6bfe\" allowtransparency=\"true\" frameborder=\"0\" scrolling=\"no\" allowfullscreen style class=\"iframe-class\"><\/iframe>\n\n<\/div>\n<\/div>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n<h2><a id=\"jargon\"><\/a>Ineffective Rounds: Too Much Use of Medical Jargon<\/h2>\n<p>Using medical terminology is encouraged as this helps further medical decision making. However, it is important to explain to patients what is being discussed so that they may actively participate in their own medical care.<\/p>\n<\/div>\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n\n<!-- iframe plugin v.5.2 wordpress.org\/plugins\/iframe\/ -->\n<iframe loading=\"lazy\" width=\"450\" height=\"253\" src=\"https:\/\/iplayerhd.com\/player\/video\/87d34935-2d61-4b67-b3d6-3f41629e141f\" allowtransparency=\"true\" frameborder=\"0\" scrolling=\"no\" allowfullscreen style class=\"iframe-class\"><\/iframe>\n\n<\/div>\n<\/div>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n<h2><a id=\"unnecessary\"><\/a>Ineffective Rounds: Unnecessary Full Team Rounding<\/h2>\n<p>In a case where there are no active medical problems that benefit from a multidisciplinary presentation, we encourage attending physicians to meet with patients separately from the full team to more effectively use everyone\u2019s time.<\/p>\n<\/div>\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n\n<!-- iframe plugin v.5.2 wordpress.org\/plugins\/iframe\/ -->\n<iframe loading=\"lazy\" width=\"450\" height=\"253\" src=\"https:\/\/iplayerhd.com\/player\/video\/034f0161-6fa8-442b-a7b8-14a5d26ee979\" allowtransparency=\"true\" frameborder=\"0\" scrolling=\"no\" allowfullscreen style class=\"iframe-class\"><\/iframe>\n\n<\/div>\n<\/div>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n<h2><a id=\"sensitive\"><\/a>Bedside Rounding with Sensitive Medical Information<\/h2>\n<p>Often times there are sensitive topics that need to be discussed, but the appropriateness of where and with whom to discuss such information is not straightforward. In such cases, providers should communicate clearly with patients privately to know what and with whom they are comfortable discussing certain topics with.<\/p>\n<\/div>\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n\n<!-- iframe plugin v.5.2 wordpress.org\/plugins\/iframe\/ -->\n<iframe loading=\"lazy\" width=\"450\" height=\"253\" src=\"https:\/\/iplayerhd.com\/player\/video\/da841090-c689-4db0-bdb0-1605ee6bb806\" allowtransparency=\"true\" frameborder=\"0\" scrolling=\"no\" allowfullscreen style class=\"iframe-class\"><\/iframe>\n\n<\/div>\n<\/div>\n<p><em>Multidisciplinary Bedside Rounding video sponsored by the UNC Department of Medicine and UNC Hospitals.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This curriculum consisting of an eductional booklet and multiple videos serves as a reference for physicians, nurses, care managers, pharmacists, and medical students to implement a multidisciplinary bedside rounding strategy on their teams and units. Our primary goal is to refocus attention of the healthcare team to more actively engage the patient and their care &hellip; <a href=\"https:\/\/www.med.unc.edu\/medicine\/education\/residency\/curriculum-overview\/inpatient-experience\/bedside-rounding\/\" aria-label=\"Read more about Multidisciplinary Bedside Rounding\">Read more<\/a><\/p>\n","protected":false},"author":3206,"featured_media":0,"parent":60811,"menu_order":131,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"division-or-center":[],"class_list":["post-18624","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Multidisciplinary Bedside Rounding | Department of Medicine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/medicine\/education\/residency\/curriculum-overview\/inpatient-experience\/bedside-rounding\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Multidisciplinary Bedside Rounding | Department of Medicine\" \/>\n<meta property=\"og:description\" content=\"This curriculum consisting of an eductional booklet and multiple videos serves as a reference for physicians, nurses, care managers, pharmacists, and medical students to implement a multidisciplinary bedside rounding strategy on their teams and units. 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