Doctornurse communication

It is essential that the multidisciplinary approach to intensive care involves medical and nursing staff in decision making. Ward rounds are a forum for such interdisciplinary communication and the consultant leading the round should ensure that all present are truly involved. The plan for the day can be set on the ward round but is more likely to succeed if all involved in effecting the plan are involved in setting it. Similarly, all changes from the plan, whether due to unforeseen emergencies or due to failure of the patient to respond, should be fully discussed.

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