Nurse-Led Interdisciplinary Rounds
Collaborating To Improve Care Coordination
- Whitney Shiner, RN
- Molly Clark, RN
- Deana Ruby, APN
- Erin Caldwell, APN
- Julie Marusarz, APN
- Evelyn Senewo, UD
- Kydie Schriver, AUD
- Mary Carol Racelis, CNS
Close communication and coordination of care are essential to maintain high quality and efficient care. This is especially important for orthopedic inpatient care areas where length of stay is short and patient care involves coordination of multiple disciplines, including the following:
- Advanced practice providers (APP)
- Direct care nurses
- Physical therapists (PT)
- Occupational therapists (OT)
- Unit leadership
- Case managers
Prior to this project, discharge planning was communicated to interdisciplinary members through daily discharge rounds. However, this structure did not include frontline nurses. This gap in communication delayed patient care coordination and left nurses fielding questions between disciplines.
Simultaneously, orthopedic APPs were reporting a high volume of text pages with basic questions from nurses and other disciplines, decreasing workflow and role efficiency.
The redesigned system of nurse-led daily interdisciplinary rounds was implemented in 2015, with the following results:
- Enhanced communication between all disciplines
- Strengthened teamwork
- Improved patient experience
Post-implementation results revealed 100 percent of the interdisciplinary team reported improved collaboration and communication. “Interdisciplinary rounds has helped our team align goals for each patient. This has helped tremendously to improve care, leading to faster recovery and increased patient satisfaction,” according to Aloha LeBlanc, RN2.
Since implementation, APPs report the following results:
- Decreased number of pages
- Improved patient throughput measured by shorter length of stay
- Increased staff engagement
- Increased patient experience scores
- Increased ownership of the plan of care leading to more patient advocacy and role efficiency
By sharing important information as a team early in the day, better coordination of care for all care team members has led to improved quality of care for Rush patients.