Patient and Family Centered Care Rounds at Hasbro Children’s Hospital


[Music] This short video is meant to serve as a brief introduction to family-centered rounds. Family-centered rounds is the way that your
doctors, nurses, and other members of your hospital care team communicate the plan for
the day to you and your family. It incorporates the four principles of family-center
care: dignity and respect, information sharing, participation, and collaboration. In the past, we used to think that the best
way to care for patients was to make a daily plan with a group of doctors talking in a
conference room. When this happened, patients and families
were out of the loop and doctors sometimes missed valuable pieces of the story. Then we had an idea. What is doctors and nurses discuss the plan
for the day in real time in the room with the patient and family. This way the family will: know the plan for
their child earlier in the day, can help tell their child’s story to everyone on the medical
team at the same time, can ask questions and get answers from the medical team, and can
clarify things that don’t make sense. Once we changed our way of doing things, everyone
benefited. Now, family-centered rounds is widely practiced
here at Hasbro Children’s Hospital. When your child is in the hospital, the team
will round in your room. For families who speak a language other than
English, a team will always round with an interpreter. Families always have the option of not participating
in family-centered rounds. There are times when the family may wish to
skip the day’s rounds. For example, the team can be a large group,
and even though we’re all friendly and nice, the group might intimidate your child. If it’s been a difficult night, you may want
to sleep or let your child sleep while we round, or there may be sensitive topics that
are better discussed in a small group, without the entire team. There may be times when your care team feels
it is better to meet with you one on one, rather than with the full care team. In these cases, we can round outside the room
and the resident and attending physician will come into your room and talk privately. Most of the time though, families enjoy this
part of the day and find it very helpful. We hope you will too. We thought we’d show you an example of family-centered
rounds in action. [Knock knock]
“Come in.” “Hi there!.” “Good morning. How are you doing?” “We’re the medical team here to do family-centered
rounds. Is now a good time?” “Sure.” “Great. So I’m just gonna introduce the whole team. So I’m Dr. Carr, we met earlier this morning. Dr. Tikkun, she’s our senior resident. Dr. Alverson is our attending, so he’s the
doctor in charge. And then Heather, she’s our medical student,
you guys met this morning, too. You know your nurse, Tracy. So Heather’s gonna update us on what’s been
going on.” “So I’m gonna kind of recap what brought you
in and then talk a little bit about the plans for today. Feel free to interrupt or add anything at
any time, or if something doesn’t make sense, feel free to ask questions, okay? So, Emily’s a previously healthy 11 year old
female. She came in when about 3 days ago, she developed
pain with urination and some fevers, and then yesterday started having nausea, vomiting,
and was really unable to keep anything down.” “She’s also having some back pain, too.” “Oh, okay. Thank you for adding that in. So yesterday, her mom called the pediatrician
and the pediatrician suggested that they come to the ER because she really wasn’t able to
keep herself hydrated and the pain was worsening. When she got to the ER, she was quite tachycardic.” ” What does tachycardic mean?” “Oh, good question. Tachycardic means that your heart was going
a little bit faster than it normally would and that’s probably because you were having
fevers and you were dehydrated. Okay. So in summary, Emily’s an 11 year old female. She’s here with pyelonephritis, which is a
kidney infection. And since she’s been here, she’s been improving
after being given antibiotic and IV hydration.” “Good.” “So today our plan really will be to continue
the antibiotics. We’ll wait for the urine culture, which will
tell us what type of bacteria is causing the infection. Then, we can figure out which antibiotic she
can go home with and we’ll keep treating your pain and nausea. And then, if she’s drinking more this morning,
Tracy, I think we could probably turn down her fluids. What questions do you guys have?” “When can I go home?” “I think Emily can go home as soon as she’s
able to drink a little more on her own and when her pain’s better.” “We’ll plan to check on you both in a few
hours, but please let us know if you need anything else before that.” “Thank you.” We recognize that it’s difficult to have your
child hospitalized for any reason. We hop that through family-centered rounds,
we can partner with you to provide the best care possible for your child.

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