My child is in hospital – what are family-centered rounds and how can I make the most of them?

family centered roundsRounds are the discussions that happen every day between the medical staff and parents of a child at TMC for Children, about the child’s progress and plan of care. The family-centered rounds take place in the patient’s room and include the family and patient as a critical part of the health team.

“Parents know their children and know how they’re going to react to new situations. The physicians and medical staff know what the evidence-based care is appropriate for the child. Working together in family-centered rounds, parents and medical staff can develop a plan of care that is best for the child.” said Jordan Richardson, child life specialist. “When parents take an active role in the family-centered rounds, they feel more involved. It improves communication and outcomes when everyone is on the same page.”

What can parents do to capitalize on family-centered rounds?

Be present on rounds

Try to be at the rounds. We know that it can be difficult to be there, and particularly if you don’t have flexibility in work schedules. At TMC, rounds on the pediatric unit occur from 9 a.m. – noon every day. The order and the time of rounds is dependent upon how sick patients are and varies from day to day as acuity often changes.

Participate!

Listen on rounds. Ask questions about things you don’t understand. Don’t hesitate to speak up on rounds.

Know that longer conversations may have to happen later

Our staff spends time with each patient, but needs to see everybody by the end of the morning. Once the hospitalist sees all of the patients and develop plans to move everyone’s care forward, he or she can return in the afternoon to have more in-depth discussions.

Write your questions down on a piece of paper

If you think of questions after the doctor leaves, or in the middle of the night, write down the question on a piece of paper or on the whiteboard in the room.   “We will be happy to answer them on rounds in the morning.” Richardson says.

medical students

Be part of shaping doctors of the future

The attending physician often is working with physicians in training and medical students. The attending physician will allow the trainees to present your child in a formal format and then may do some quick bedside teaching.   The teaching is for you as well! Please listen in and participate. This is how we all learn.   Don’t be surprised if you find that you have something to teach our trainees; our families often have valuable insight.

Just with every team, everybody brings different strengths. You, as a parent are a key team player on family-centered rounds.   Do not hesitate to ask questions and express your concerns.   Our goal is to provide high-quality, effective care for your child while in the hospital, and the best way we can do that is with your involvement.

 

 


Tucson Medical Center | 5301 E. Grant Road | Tucson, Arizona 85712 | (520) 327-5461