UCSF Center for Healthcare Value - Caring Wisely 2.0

Crowd-sourcing innovative cost savings ideas from the front lines of care delivery systems

RN-to-MD communication (via phone number sharing)

Idea Status: 

Nurses and physicians like to be on the same page when making our patient care plans, but sometimes we (speaking as a resident) fail to include nurses in prerounds, rounds, or afternoon check-ins just because we cannot get in touch with them. The vast majority of nurses at Moffit carry an ascom phone, but in order to find this number, you have to go to the hospital ward, find your patient and the name of the nurse caring for them, and then find that nurse's number on another board.

 

Sharing of this number should be standardized. Ideally, this could be done through apex - by having all nurses add themselves to the treatment team - but since this is not always updated, I rarely look here for a nurse's number (it's also a few extra clicks). If there was an easier, standardized way to see the bedside nurse's number for each patient, I would check in with nurses earlier and more often. Potential ways to do this would be 1) have a separate field in the patient header of apex (where 'code', 'attending', 'CSN#', etc are) that was simply for "RN name and #" that nurses would update at each change of shift or 2) have a standardized page from RNs to MDs around 715-745 AM that said "Hi, this is ***, the day nurse for your patient ***. Overnight, the major issues for your patient were ***. My phone is ***." 

 

Good communication with nurses saves pages, errors, and TIME. We have the means to communicate better, and should work on standardizing this practice.

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