integrating a librarian into a multidisciplinary rounding team
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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.
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