Integrating a Librarian into a Multidisciplinary Rounding Team Christine Caufield-Noll, MLIS, AHIP Johns Hopkins Bayview Medical Center Harrison Medical Library October 21, 2008
Overview • Rounding in the literature • Rounding at Bayview • History • Interdisciplinary burn rounds • Benefits of rounding • Implementing a rounding program in your hospital
Rounding in the literature • “Clinical medical librarian” first documented in a 1974 article by Virginia Algermissen • Many different titles like clinical medical librarian, clinical librarian, librarian in context and informationist Algermissen V. Biomedical librarians in a patient care setting at the University of Missouri-Kansas City School of Medicine. Bull Med Libr Assoc. 1974 October; 62(4): 354–358.
Rounding in the literature • How are these information professionals different from traditional reference librarians? • They take library services to health professionals by attending rounds, morning report and conferences • Attending these functions allows these librarians to anticipate information needs of the clinical staff (Miller 1985) • Working with the clinical staff in context is their primary duty
Rounding at Bayview • How we began • Asked by a medicine faculty member to participate in teaching rounds • Conducted a two month trial of rounding on a medicine floor
Rounding at Bayview • Librarian attended medical rounds twice a week for 2-3 hours • Trial was successful and burn unit director asked the librarian to participate on his rounds after hearing about her work on the medical unit • Staff appreciated the research provided by the librarian and thought her contributions added to the educational value of rounds
Rounding at Bayview • Interdisciplinary burn rounds • Tuesday mornings between 7:30 and 8:30 • Attendance ranges from 12 to 40 people • Takes place in Burn ICU
Examples of search requests • Burn injuries and liver disease (cirrhosis) • Contraindications for skin grafting on a patient with lupus • Virtual reality/distraction programs for pain during procedures (i.e. debridement) • Studies on using essential oils vs. petroleum products on burn wounds • Prevention of smoking on home oxygen
Benefits of rounding • To the medical staff • Increases the educational value of rounds • Provides high-quality information to answer patient care questions • Saves time and effort
Benefits of rounding • To the library and the librarian • Helps the librarian know what the important topics or common diagnoses are in that unit • May impact collection development • Increases the librarian’s value to the hospital • Boosts the visibility of the library and its services • May increase use of library resources • Provides a venue to promote library resources
Benefits of rounding • Opportunities to assist with patient education • Ties the library into the hospital’s mission • May lead to other opportunities within the hospital • Serving on other committees or the IRB
Implementing a rounding program • Begin with departments with whom you have an existing relationship • Support from department leaders is key • If you do not have teaching rounds established in your institution, think about other groups to work with (nurses, therapists, social workers) – be creative! • Have a trial period and establish own measures of success
References • Algermissen, V. (1974). Biomedical librarians in a patient care setting at the university of missouri-kansas city school of medicine. Bulletin of the Medical Library Association, 62(4), 354-358. • Brandes, S. (2007). Experience and outcomes of medical librarian rounding. Medical Reference Services Quarterly, 26(4), 85-92. • Burdick, A. (2004). Informationist? internal medicine rounds with a clinical medical librarian. Journal of Hospital Librarianship, 4(1), 17-27.
References • Marshall, J. G., & Neufeld, V. R. (1981). A randomized trial of librarian educational participation in clinical settings. Journal of Medical Education, 56(5), 409-416. • Miller, N., & Kaye, D. (1985). The experience of a department of medicine with a clinical medical library service. Journal of Medical Education, 60(5), 367-373. • Schwing, L. J., & Coldsmith, E. E. (2005). Librarians as hidden gems in a clinical team. Medical Reference Services Quarterly, 24(1), 29-39.