 Hi guys and welcome back to my latest video. Today I want to talk about multi-disciplinary rounding and I've actually had quite a few questions come up recently about this and I kind of just didn't realize that people actually cared to know about this but obviously you guys do and so I want to talk about rounding at the hospital what that means and what it involves and kind of explain my two cents on it so at the hospital at in my unit at 10 a.m. every day all the people that are kind of at the ancillary people so to speak involved in patient the patients care come and round on each patient so they start at one room they kind of just walk through every room and as a nurse you at 10 around 10 you know they're going to be coming by so you kind of look out for them and when they come by you kind of do a mini report so in my round team there's always ICU physician social work dietary sometimes the chaplain the charge nurse pharmacist sometimes there are more or less other people but that's kind of like the main people that come just people that are involved in the patients care but not necessarily like at the bedside bedside but just outside services it's still equally as important and so they all come by and as a nurse it's your job to kind of give a little snapshot of what this patient's day is supposed to look like it's kind of a good way to set goals for that day and also communicate any like immediate needs or concerns that a patient or family might have so for me personally when the round team comes by i like to just give a mini snapshot of snapshot is that right where i'm looking for almost a snapchat a mini snapchat of what this patient is here for and what's currently going on now if they've been there for weeks and weeks the people in the round team might already kind of know and have an adjust and sometimes like if nutrition or dietary is like not in the rounds for whatever reason that day i might not even really touch base on that unless it's important so i kind of like um why do i always want to say titrate not titrate i kind of develop my rounding um little snapshot based on who's in the round team like if we're not if we don't have as many people then i'm not going i i don't want to i basically tell them what i know they want to hear if that person's not in the round team then i just don't really touch base on that unless it's relevant or important i hope that makes sense um so i'll kind of explain so usually i'll start with like just a mini history of what brought the patient in and maybe how they got up into the ICU and then i will go through just briefly like if they're on a ventilator on any drips um any pending tests of things that we're waiting for maybe the patient status maybe we have a family issue maybe there's a care conference that day um have we started to feed debt have we not is the patient eating are they not um are there any spiritual needs are there not so whoever's in the group is kind of what i um i don't want to say titrate i can't think of the word whatever i developed my little uh spiel to i think the important thing is to know that like depending on what hospital you're at these people are rounding on a lot of people and like on our unit we have 24 beds so potentially they can be rounding on 24 beds in our ICU but then they also go over to the other ICU which has 20 beds so if every nurse is communicating something for five minutes that's like that's a long time to be rounding so keep it short keep it concise um and base your report on what the people in the group want to hear a lot of times i hear nurses um giving this long detailed report about what's going on and the round teams kind of like okay like i really don't care like they just want to hear certain things dietary wants to know you know have we started two feeds yet are we at goal with the two fees are they tolerating them if not are they what are we going to do and if you have any immediate concerns it's a great time to talk to the physician about it like this is the medication that they're on and i'd like to get it converted to p o or i v is that okay like kind of a good time to get many orders or hey like their kidney labs didn't look so good this morning do you want to consult renal and it's a good way to like ask those questions without having to like go bother the physician for one thing unless it's obviously urgent i hope this gives you guys kind of a little idea of what rounds look like and it's obviously going to be different at every hospital um and i've only done rounds at in the ICU i don't know if they do them everywhere but i know a lot of places do do rounds if you do do them and you have any words of advice leave them down below if you have any questions leave that down below as well and i will see you guys in my next video bye