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PHYSICIAN PERSPECTIVE
| | Joe Kim, MD
Director,
Hospitalist Program
Leads Family Centered Rounding for the Blue Team
"The focus of family centered rounds is to have the people who best know the child contribute to the medical decision process. This necessitates the bedside presence of the parents, the nurse, and the medical team to collectively decide what is in the best interest of the child. Thus far, the response from parents has been terrific."
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Bill Rhine, MD
Director of the NICU, has included families in rounds for the past year
"After years of trying to convince the NICU medical and nursing staff about the benefits of including parents on rounds, we were finally able to implement this practice with the help and input of our parent leaders, especially Heather Keller, as well as with the support of Karen Wayman from Family-Centered Care. Since its implementation, our parents have been more satisfied than ever with their understanding of, and inclusion in, their babies' care."
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| PARENT PERSPECTIVE ON ROUNDS |  | | Michele Ashland,
Parent Mentor
"When I meet with a family to prepare them for participating in rounds, I find them very receptive. Using the interpreter, a Spanish-speaking mom told me, 'It is so good that they involve us. We can understand what they are doing, why they are doing it, and how we can better care for our child.'"
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| Quick Links |
Need parent feedback on a project? Attend a Family Advisory Council Meeting.
To provide feedback on this newsletter or suggestions for future issues,
View "Family to Family" Brochures |
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FAMILY CENTERED ROUNDS | Nov/Dec 2010 |
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Blue Team Begins
Family Centered Rounds
On 3 North and 3 East |  A hospital-wide initiative to implement Family Centered Rounds is gaining momentum. Currently, parents are included on rounds in the NICU, PICU, and CVICU. In August, the the Blue Team started Family Centered Rounds and offer the option of participation to parents on 3N and 3E. Families are given the choice whether they'd like to participate in their child's medical rounds, with about 90% of parents opting in. Blue Team rounds are multidisciplinary, including nursing as well as social work, case management, pharmacy, and nutrition when possible. Interpreters are present for Spanish speaking parents. The medical status, resident teaching, and plan for the day are all conducted in the presence of the parent and sometimes the patient---representing a shift from the traditional practice of rounding outside of the patient's room to develop the plan prior to meeting with the family. Research studies have shown that Family Centered Rounds significantly improves family satisfaction, doesn't increase the time of rounds, and provides Residents with improved learning opportunities for communicating with patients and families. Learn more about national research on Family Centered Rounds. This successful initiative is the result of the work of a multidisciplinary team led by Joe Kim, MD, Susan Herman, RN and Erin Vera. |
| Bedside Nurses Critical to the Success of Family Centered Rounds
Implementation of Family Centered Care Rounds on 3N & 3E has provided an opportunity for bedside nurses to participate as partners in medical rounds. In a survey, 96% of nurses report that attending rounds increases their knowledge of the patient's plan of care, and 79% say they call residents less often to coordinate care."Family Centered Rounds puts the nurse back at the center of the patient's care, acting as the advocate and voice of the patient and family, while also acting as a liaison to the physicians."
Stephanie Wintch, RN
Nurse Educator
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| WANT TO LEARN MORE ABOUT FAMILY CENTERED ROUNDS AT PACKARD? |  Sign up to receive research results
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WHAT FAMILIES SAY:
HOW TO MAKE ROUNDS WORK FOR PARENTS | |
Surveys of parents who have participated in rounds at Packard have told us what they liked about Family Centered Rounds:
- It was helpful to be given an orientation to rounds--it wasn't so intimidating since I knew where and when they were held as well ways I could participate.
- I liked that I had a choice of whether to attend or not.
- The doctors asked for my input.
- The team members introduced themselves.
- The team used language I could understand .
- My nurse was included on rounds.
- I understood the plan for the day.
- I was included in decisions.
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| Learn More about Family Centered Rounds | | |
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DID YOU KNOW...
| | Facts about the Family Centered Care Dept at Packard |
25 parents work in the FCC Dept at Packard Children's
18 trained parents meet monthly at a Family Advisory Council Meeting FCC parents represent experience with over 20 service areas at Packard
Parents sit on over 17 hospital committees 12 parents mentor families each week
96 "Parent Hours" to help in-patient families are held annually
The department has produced 18 brochures in English and Spanish to help parents navigate their child's care The FCC Dept has held 7 international forums to train hospitals on best practices in Family Centered Care
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