Interdisciplinary Rounds

The patient care team at Christiana Care's Wilmington Hospital intensive care unit demonstrates the patient and family centered care practice of interdisciplinary rounds at the bedside. By involving the patient's family members in this discussion and exchange of information, this process enables better, more complete communication, and also reduces the anxiety of the patient and family.

[lindamannix]

I never saw anything done like this ! This is wonderful .

[freemanojeikere]

This is great. It's literally impossible to find this kind of round in many hospitals.

Hey... where is the physical therapist?

[ahmadg]

Great!
Just one notice; post thyroidectomy & didn't hear a word about his compliance on Levothyroxine (Synthroid) or TFT!!

[Zitterion]

When we do our ID Rounds, I always tell relatives not to get anxious with so much medical jargons... this is pretty much obviously seen in one of the relatives' faces as the asst. physician was presenting the case.

[thehusbandofstardomfamily]

Plan: Cardiac enzymes, ECHO, Neuro consult, work up different etiologies, perfusion scan, CHF, empirical coverage antibiotics, Hyperthermia protocol. Tube feeding isotonic formula, multiple disease DDX. Sympathize with the family on DNR/advanced directive. Honor wishes of the family or the word of what the family says the pt wishes are when the patient is incoherent.

[AlyshiaMurrell-ovmf]

Yes, this is how it should be done Thank You so much 🙏 3:16

[thehusbandofstardomfamily]

Long history of lung TB and Kidney TB, with nephrectomy patient, so this is important. Thanks family! Everyone has been in contact with no precautions.

[autumnsun]

Well done! Good Rounding presentation.

[timsentsov]

The Respiratory Therapist was disappointingly shallow with his portion. With the given ABG the PaO2 was 146 (normal range 70-100) ; the current vent settings are clearly resulting in hyeroxygenation. The PEEP or Fio2 should be titrated down. Also, vent settings should always be brought up in rounds to demonstrate how the patient is doing from a pulmonary perspective (high settings = poor pulmonary health and vice versa). Also, are you doing breathing trials or weaning him to get him off the vent? Now I understand that this particular patient is critically Ill and DNR is being discussed, however if the purpose of this video is educational then it would be beneficial to cover more ground.

[TheRoyalprinceart]

In my country does not have same rounds in this video. But may rounds in school of medicine hospital. I live in Thailand.

[samibahig]

I never liked those "educationnal rounds' in teaching hospitals, most students are intimidated and acting like robots, plus most patients get confused, plus i don t believe it is teh best way to teach medecine, because teaching should be more personnalized, and finally, many students get humiliated in those rounds that becomes exam rounds rather then educationnal rounds... so yes i believe in a futur change in this educational paradigm of medecine...still i don t know how, maybe by the use of technology?

[marinaviljoen]

At least they introduce themselves. In our state hospitals you are basically a nothing.

[gedomazo]

WHy is the PA presenting the patient and the residents are standing around doing nothing. Pneumonia, CHF and PE is that all you can think off?

[thehusbandofstardomfamily]

No precautions droplets were mentioned AFTER the family informed of TB status.

[AlyshiaMurrell-ovmf]

Please can I get Help from the Team 5:50

[alexc.]

In real life, this patient would take another 5-10 minutes. Things never go this smoothly

[dann_]

That's useful reference for me to attend ICU rounds

[everg]

stop the "ums" and its a great presentation from the PA!

[thehusbandofstardomfamily]

Subjective information gathering from the family. Objective were presented first, maybe due to ER arrival.

[ksc]

They should be acting like they are talking to the patient as well, very robot like