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well-structured, concise, focused, shared, and
reported in medical chart. For bedside round,
RCP and RCN purpose a structure with precise
roles and responsibilities for doctors, nurses,
other professionals, and patients, listing the
activities that should be carried out by any of
them. In this way, everyone brings his/her competencies
and opinions, decisions are taken collegially,
anyone is simultaneously informed,
patients and/or caregiver actively participate and
are timely informed about care plan [80]. That
M. L. Regina et al.
means no essential information is missed, breakdown
in communication among team members
and with patient or family is prevented, time and
resources utilization is optimized, quality, and
safety are warranted. Figure 17.2 includes a
checklist for bedside round.
Other subsidiary rounds are board rounds
(BRs) and intentional rounds (IRs). BRs are held
away from bedside, next to a white board. They
should be used to facilitate patient review but
cannot replace bedside round. They can be used
PHYSICIAN
• leads the round and
introduces the
multidisciplinary
team to patient
and/or family
• provides the team
with updated clinical
history and
examination, tests
results, response to
treatment, then
collect information
from patients and/or
family, staff
• reviews drug chart
• summarizes team
inputs
• defines daily plan and
goals
• plans discharge
• discusses care plan
with patient and/or
family, checking their
understanding.
NURSE
provides an update
about vital signs and
safety checks (urinary
catheters, intravenous
lines, VTE, infection,
pressure ulcers and fall
prevention)
PHARMACIST
reviews patient’s
medications, checks
VTE prescription and
reviews drug chart
daily
ALLIED HEALTH
PROFESSIONALS
• provides update of
care provided,
discharge and followup
arrangements.
PATIENT AND/OR CAREGIVE
express their feeling or concerns, ask questions about care plan or discharge and provide any additional information.
Fig. 17.2 Roles and responsibilities of the different health professionals during bedside round