The Interdisciplinary Rounds (IDR) is a structured session intended to facilitate efficient and closer collaboration among the various disciplines involved in the patient's care. Participants of the IDR include attending physicians, residents, nurse practitioner, nursing staff, clinical case manager, pharmacist, rehabilitation therapist representing PT/OT, social worker, dietician, and chaplain. During this session, members of the care team review the progress of each patient in the Geriatrics Service, share information relevant to the provision of care, and identify barriers to progress and discharge.
Each patient is first presented briefly by the nursing staff caring for the patient in the Geriatrics Unit (or by the resident if the patient is off floor).
The Geriatric Unit nurse is expected to touch upon the following elements:
During this time, the nurse may ask for an order to discontinue telemetry, catheters and lines if they are no longer indicated, or the resident may ask for a discontinuation (and enter the order on Care Connect) if appropriate.
The Geriatrics resident is expected to provide the team with the following information:
During this time, the resident may request other members of the team for their input or follow-up of action items including but not limited to assessment and equipment recommendation (e.g., front wheeled walker) by PT or OT, medication review by the Pharmacist, or psychosocial assessment by the Social Worker. The resident may request the nursing staff to perform to complete specific geriatric assessments such as the PHQ 9 with the patient. (In addition to the verbal request, an order must be entered on Care Connect, under Nursing Communication to complete the specific assessment tool such as the PHQ-9). The Clinical Case Manager notes the medical team's recommendation regarding the appropriate level of care (SNF, home with help, ALF, etc.) and anticipated discharge needs of the patient including DMEs (e.g., O2, tubefeeding supplies, equipment recommended by PT or OT, etc), updates the team regarding SNF bed availability if applicable, and identifies barriers to achieving recommended discharge location. The attending physician will provide additional guidance to the team, as needed. In order for the IDR to run efficiently and finish on time, presentations are expected to be succinct.