In 2007, the intensive care unit (ICU) at Florida Hospital Celebration Health implemented critical care multidisciplinary rounds under the supervision of the ICU nursing director and the medical director. Their vision for patient-centered care required effective communication, teamwork, and a culture of safety among physicians, nurses, educators, clinical nurse specialists, chaplains, respiratory therapists, dietitians, and other allied health and administrative leaders.
Multidisciplinary rounds allow for real-time and in-person exchanges of information, making the goals and plan of care for each patient clear to everyone. Rounds begin around 10:30 AM with a rounding chart and lap top computer, which allows us immediate access to pertinent information. After a patient’s case is presented and discussed in front of the patient’s room, we enter the room and continue the rounds at the bedside where team members can see the patient and engage him or her and the family in the plan of care....