dialogue between staff and to ensure that both had a clear understanding of each patients’ ventilator management. It also became evident that further nursing education on ventilator modes was necessary. The SAT and SBT were discussed during multidisciplinary rounds with the nurse the SAT portion and the respiratory ‘owning’ therapist the SBT portion during report out. ‘owning’ Multidisciplinary Rounds. multidisciplinary rounds in the three medical facilities occurred during the morning hours. A reporting script for rounds was developed during PDSA cycles; the scripts were customized to each facility as their involvement with resident education differed. The script provided a systematic approach to reporting out on each patient and enabled rounds to be conducted in a time-efficient manner. Prior to implementing the script, rounds were noted to take a much long time. During implementation, the nursing staff verbalized that the script consolidated their thoughts and it was easier to use than to not use it. Documentation of the multidisciplinary rounds was done using a smart phrase in the EMR to ensure all elements of the RCC were addressed and appropriately documented. Daily goals for the patient were discussed at the multidisciplinary rounds; at the end of the day shift, the nurse clinical lead would follow up with each nurse to inquire if the goals were and barrier prevented goal attainment. Celebrations of accomplishments were done as PDSAs were conducted with permanent changes implemented to facilitate the staff’s ability to achieve the RCC goals. At the completion of the first medical center implementation learnings were documented and recommendations for staffing and timing of the elements of the bundle were presented to the second medical center.
dialogue between staff and to ensure that both had a clear understanding of each patients’ ventilator management. It also became evident that further nursing education on ventilator modes was necessary. The SAT and SBT were discussed during multidisciplinary rounds with the nurse ‘owning’ the SAT portion and the respiratory therapist ‘owning’ the SBT portion during report out. Multidisciplinary Rounds. multidisciplinary rounds in the three medical facilities occurred during the morning hours. A reporting script for rounds was developed during PDSA cycles; the scripts were customized to each facility as their involvement with resident education differed. The script provided a systematic approach to reporting out on each patient and enabled rounds to be conducted in a time-efficient manner. Prior to implementing the script, rounds were noted to take a much long time. During implementation, the nursing staff verbalized that the script consolidated their thoughts and it was easier to use than to not use it. Documentation of the multidisciplinary rounds was done using a smart phrase in the EMR to ensure all elements of the RCC were addressed and appropriately documented. Daily goals for the patient were discussed at the multidisciplinary rounds; at the end of the day shift, the nurse clinical lead would follow up with each nurse to inquire if the goals were and barrier prevented goal attainment. Celebrations of accomplishments were done as PDSAs were conducted with permanent changes implemented to facilitate the staff’s ability to achieve the RCC goals. At the completion of the first medical center implementation learnings were documented and recommendations for staffing and timing of the elements of the bundle were presented to the second medical center.