Trio Rounding - PIH Health - Whittier, CA

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Trio Rounding

Photo of patient talking to doctor and nurseCommunication is one of the most important aspects of safety, collaboration, and quality patient care. In alignment with our patient’s first philosophy, PIH Health Hospital Whittier wanted to improve and standardize the communication process between patients, physicians and nurses. Having the physician and Nurse round together at the patient’s bedside ensures the patient is receiving consistent information and is engaged in the plan of care. We call this Trio-Rounding.  Trio Rounding was initially piloted on a Medical-Surgical unit with great success as our entire multidisciplinary team was committed to improving our patient experience.  With tremendous support from nursing administration along with physician involvement this concept of Trio Rounding had traveled throughout every unit of the hospital.  

What is Trio Rounding?  

Trio rounding involves the Physician and Nurse going to the bedside of the patient as a team.  As a Trio (Physician, Nurse and Patient), they discuss the plan of care, current health status and any expectations for the day.  It also allows the patients’ questions to be answered, which furthers their understanding of their health.  This ensures that all three participants are on the same page and aware of the plan.  Throughout this process, we have identified many benefits of Trio Rounding:

  • Better clarification of physician orders
  • Clearer understanding of the plan of care for all
  • Ability to share pertinent information with physician, allowing for improved health care decisions
  • Improved the rapport and communication between patients, physicians and nurses
  • Communication of important information to family members who are unable to meet with the physician
  • Helps us provide optimal individualized care for each patient
  • Physicians are provided with the most current health status by nurse/patient, allowing for better health care decisions
  • Decrease call volume to physicians for clarifications and family questions
  • Better patient results when entire team understands expectations regarding care
  • Allows the nurse to clarify and reinforce information and instructions given to patient by the physician
  • Allows the nurse to discuss discrepancies in patient, family, nurse and physician expectations and goals for the patient
  • Allows the physician to get timely responses to questions regarding patient care issues
  • Eliminate unnecessary calls to the physician after he leaves the unit saving the nurse valuable time

A Physicians Perspective

“Over the past several years most physicians now prefer to have the nurse present with them as they round on their hospitalized patients. We (physicians) get a head start on the current status of the patient before we walk into the room which makes us better prepared for any changes that may have occurred since the last visit. We can be informed of concerns that need to be addressed and be prepared for any challenges that await us. As we discuss the plans for the day the nurse and patient have both heard the physician’s thoughts and have their questions answered at that time.  Also in this day and age it is often advantageous to have a third person in the room for medical-legal reasons. The PIH nurses are invaluable as our healthcare partners. As a physician,  I have embraced trio rounding as an important method to ensure optimizing the hospital stay and outcome for our patients.”

- James Rodgers MD

As Trio- Rounding becomes permanently ingrained in our culture, we continue to strive for the best patient’s experience. This process has truly transformed care and also improved the relationships between care providers.  In the end, it has contributed to our mission of “Patients’ First”.