Thread by @SonjaRaaum

#medtwitter

I love to provide structure for my learners. A couple years ago I adopted a set of rules for rounds and ward teams. These continue to evolve.

I share them on day 1, and refer back to them frequently while on service.
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#TeamRules #MedEd
What are your #teamrules?

Rule 1: We treat patients, not diseases or numbers.

Always always put the disease and number into context for that specific patient. And get to know the patient.

It’s good medicine, and makes the job so much more interesting.

#SDOH #IllnessInContext #EBM

Rule 2: Rounds are done by noon.

Come prepared and we will get the work done together

Stick with the 4 Ds - decompensated, discharges, diagnostic dilemmas, the C Diff patients last. Stop wherever we are at 11:30 and finish running the list.

HT @thecurbsiders ep157

#efficient

Rule 3: Celebrate 1 good thing every day.

At end of rounds we all share one win for the day. A moment, an interaction, an accomplishment, something learned - just has to be positive!

As a team it lifts everyone up.

#positivepearls

Rule 4: Always assume everyone is trying their best, and know you’re trying your best.

An academic hospital is busy and moves at a fast pace. Stories change and evolve. Every service has something to offer. Be generous in your assumptions.

#goldenrule

Rule 5: The only successful plan is the one that is discussed with the nurse.

Talk to your nurses every day! They have so much valuable insight. And, empower them to use their skills.

Same can be said for our case managers, PT/OT, pharmacists, etc

#NurseTwitter #TeamCare

Those are it.

My equivalent of the rules of house of God, or a variant of @medicalaxioms or @MKIttlesonMD rules.

What are your #TeamRules?
@gradydoctor @cjchiu @alvinseattle @ShreyaTrivediMD @UtahIMCMRs @drjenniferbest @tony_breu