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Nurse-Led Rounds in the Pediatric Intensive Care Unit
Lindsey Bird1, Vanessa Kalis2, Leah Apalodimas1
1College of Nursing, University of Tennessee Health Science Center, 874 Union Avenue, Memphis, TN 38103, USA; Division of Pediatric Cardiollgy, Le Bonheur Children's Hospital, 51 North Dunlap Street, Memphis, TN 38103, USA.
Abstract:
Pediatric intensive care units (PICUs) rely on interprofessional communication and collaboration to mitigate the risk for medical error. To operationalize these tenets, many PICUs use multidisciplinary bedside rounds as the foundation of their workflow. Bedside nurse participation in rounds is inconsistent, diminishing the return on team investment in patient safety. Given this dilemma, some institutions have shifted from provider-led to nurse-led rounds. Here, the authors explore the rationale, experiences, and outcomes of implementation of nurse-led rounds within 4 PICU service lines.
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