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Copthorne hotel cameron highlands pahang capstone project chapter 5 what if review movie testament they don't treat me like I'm not in the room they actually talk to me and make me feel like this is actual team effort really good for a medical student it really helps you evolve into a physician a lot sooner let them know exactly what's going on so that they can treat you to the best of their abilities everyone is a key player in you know deciding what happens what the next steps are how we can achieve the best gift that comes for patients and I think that patients are able to really feel like a big part of that I think we do need to do better transitions of care and part of that means getting everybody that's involved in the patient on the same page cyber is an acronym for structured interdisciplinary bedside rounding the results of which have shown decreased length of stay decreased cost decreased hospital acquired complications and increased patient engagement and patient satisfaction it's very structured in that there's a set time we begin and the patient is giving one story one time as opposed to relating a story multiple times where there could be inconsistencies it also gives you an opportunity because you have a script that you're running through to make sure you're hitting everything you need you need to do we're synchronizing all of our thinking and all of our planning at once we don't have to talk through the entire plan at that time but we can set an agenda cyber is actually just a part of what we would call an accountable care unit which is essentially what we're trying to create where not only do you have the bedside rounding but you have the geography of everybody working on the same unit the nurses they actually pre-round on the patients that are going to participate in cyber making sure that their care is all wrapped up so that they can physically and mentally be involved in that conversation they identify the team members that's gonna be part of the cyber rounds informing them that it can be multiple people at the bedside at this given time the nurses as the patient's prompting questions this triggers the patient and family to have that aha moment and say oh yeah I do have questions about this and then the nurse will write those questions on the whiteboard and then it will get redressed insider rounds what goal is discharge planning and making sure the the patient when family has a resources need to have a safe discharge the patient satisfaction in the family satisfaction has been phenomenal cyber is basically an innovative way of accomplishing our daily work that is very patient-centered and encourages in a professional collaboration and teamwork the entire care team is present at one time and stands at the bedside coming up with a plan with the patient and their family involved there are a couple things that you'll notice happen in every single cyber rounds regardless of the team every session starts out with the nurse presenting the patient's primary concern for the day and other questions that they'd like to have answered during rounds that gives the team a chance to craft a care plan for the day using the patient's values and goals every single member of the team introduces themselves by their name and their role they make sure that they're addressing their updates directly to the patient and the family in language that they understand and you'll also hear a standard quality and safety checklist that we've embedded to cover those very important can't-miss items and their care for the day so at the end of each cyber session you'll hear a wrap-up where the team says okay these are our steps for the day here's who owns it and let's make sure that we've really addressed every single patient question and concern it gives us a chance as a team to really recognize this is a human being that we're treating they really see that this is an effort from their team to partner with them in their healthcare when patients are more satisfied with the way their team has communicated with them and taken their values into account they're more likely to be compliant with their care that our communication and teamwork and patient engagement actually leads to better patient outcomes having the cyber structure in place allows everyone to be at the same place at the same time you're able to observe the the learners in a much more realistic holistic environment where they're actually delivering patient care you can assess medical knowledge you can assess professionalism you can assess patient centeredness and you can assess multiple learners at the same time and it also allows you to see how they interact with the other staff members and it allows the patients to actually communicate with the whole team at once what they need and see how through the learners you're going to respond to those needs and address those concerns it enhances encount ability of the team it really kind of puts everyone back into the frame of mind of oh there's a person here it's not just a chart I have to fill out or a note I have to write it's I have a patient that I need to take care of and we're all working together and it's kind of I think nice for the patient too because I don't think they always realize how many people they have working on their situation behind the scenes cyber rounding brings rounding where it should be to the bedside and puts the patient literally in the center of the team that's taking care of them we're good to participate on eye level with every single person on their team every day we always when I'm rounding raised that up so that we're all sitting there looking at each other in that same plane having that conversation and that makes it a collaborative care plan it's not about walking in and giving report it's about developing a relationship across the team with the patient in the middle so it's important to have a great environment in the room that allows that patient asking questions so it does put a face on the team but also for the team we're not just talking about mr. X down the hallway we're in that room and it puts a face on mr. X we get to clearly communicate and what the patient's goals are your team's goals are we're learning how to interact with people better because we're doing this I love patients I love people and I love our team we learn about the theory of an interdisciplinary approach to medicine in the preclinical years and it was great to see that in action but after they give their reports then you often do have questions and then you have everybody there on the spot hearing my patient interact with some of the other healthcare providers on the team really made me more in tune with my patients needs or what their preferences were in terms of their care it makes me feel coming that there's more than one person because it's more than one person knows different things so when they get together it works you write for me college for financial planning capstone Old Westbury campus.