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Richmond team demonstrates partnership in care


The TCU team, which includes: physiotherapy, occupational therapy, nursing staff, care aids, nurse educators, patient care coordinators,rehab assistants, as well as a physician.

Ten years ago, the concept of a multi-disciplinary team that provides weekly bedside rounds for patients, was one for dreamers. But today, staff on Richmond's Transitional Care Unit (TCU) are giving patients and their families an opportunity to be involved in their care planning in what's considered a gold standard of practice.

“TCU bedside rounds allow us to involve patient and family in understanding their goals of care and discharge planning. It also promotes team work and accountability," says Harjender Walia, program manager for Acute Treatment.

The team, which consists of a physiotherapist, occupational therapist, nursing staff, care aid, nurse educator, patient care coordinator, and rehab assistant, spends 30 minutes every Thursday, visiting with patients and their families on the TCU unit to talk about where they are in their recovery phase and where they need to be in order to go home. TCU patients are usually patients recovering from post-op hip fractures or fall injuries and unable to recover at home.

“It's that face-to-face interaction that really makes all the difference to our patients," says Harjender.

Dr. Willy Wong, the TCU physician agrees and says thanks to the bedside rounds, the team is able to coordinate the care more efficiently and make communication easier.

“The rounds allow the team to have a more focused idea of where our care planning is going. We talk about our plans and mobility goals—what patients need to do and how they're going to achieve them," says Dr. Wong. “It's a real partnership of care, especially when we can involve the family. They meet me, ask questions, and we talk about our plan so everyone is on the same page," he says, adding that he's had many patients around 90 years old who have been able to return home thanks to their coordinated care efforts.

The rounds have also helped with staff education—being able to learn directly from Dr. Wong on how to manage their patients and their discharge goals.

“Staffs are able to get medical advice on how to manage their patients and learn how to help the patients adjust to realistic goals. It's a great learning opportunity for everyone."

SOURCE: Richmond team demonstrates partnership in care ( )
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