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- W4313220428 abstract "Introduction: Pediatric Critical Care Unit (PICU) family/patient centered morning rounds are a vital tool for developing and implementing a care plan for the day. Factors such as monthly rotations of residents, prolonged rounds, and varying levels of experience in nursing staff, raise concerns of suboptimal communication between medical and nursing teams. The goal of this project was to create a template for nurse-driven rounds that would allow for consistency in presentations, minimization of repetition of nurse/resident data, improvement in nurse ownership of patients, and improvement in time efficiency and efficacy of rounds. Methods: A pre-template survey of five questions was emailed to the nursing staff with a Likert scale to gauge perspective on current rounding processes. After the initial survey closed, the new rounding template was distributed to all nurses. Prior to, and during the template pilot period, data was collected regarding duration of rounds and number of patients seen. After sixty-days, the same survey was sent via email to compare nursing perspective on the new rounding process. Results: Prior to implementation of the rounding template, the average time to round on each patient was 12.95 minutes. Post-intervention, the average time to round per patient was 9.89 minutes, a reduction of 3.06 minutes (24%). In context: for 20 patients, this shortened rounds by 1 hour. The initial survey was completed by 58 bedside nurses who agreed morning rounds were inconsistent (40%) and thought nurse-led rounds would be ineffective (55%). In the post-intervention survey, both numbers were significantly reduced to 7% each, based on responses from 44 nurses. According to survey results, this reflects an 82.5% decrease in inconsistency, and an 87.3% decrease in the idea that nurse-led rounds would be ineffective. Another observed positive impact was a larger percentage (77%) reported complete confidence in understanding the daily plan for patients, which saw a 17% increase from prior reporting. Conclusions: Survey results support the goal of more consistency in presentations, less repetition of verbalized data, improvement in nurse sense of patient ownership, and substantial reduction in time spent during morning rounds." @default.
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- W4313220428 date "2022-12-15" @default.
- W4313220428 modified "2023-09-25" @default.
- W4313220428 title "1062: IMPLEMENTING A STANDARDIZED NURSE-DRIVEN ROUNDING PROTOCOL IN THE PICU" @default.
- W4313220428 doi "https://doi.org/10.1097/01.ccm.0000909976.57249.34" @default.
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