The Duke Multi-Disciplinary Team


Coordinate patient care, determine team priorities, establish patient goals, and plan for potential transfer or discharge


This site aims to share learnings and standard work developed through creating multi-disciplinary teams. For those new to multi-disciplinary discharge focused huddles at Duke, start with the introductory video below. From there, members of the care team can find targeted pocket tools and orientation videos below.

For Triagists placing patients on our localized units, the following tool can be helpful in the triage algorithm.

Triage Tool

Guides and Resources for Discharge Rounds

PROVIDERS

Organize the team with clear clinical goals and estimated times of medical stability and discharge readiness.

Provider HUDDLE GUIDE

charge nurses

Coordinate daily needs with bedside teams and escalate barriers to care.

Charge Nurse HUDDLE GUIDE

CASE MANAGEMENT

Start transition planning early including referrals to subsequent levels of care.

Case manager HUDDLE GUIDE

PT, OT AND SPEECH

Identify needs and coordinate care as patients progress toward medical readiness

THERAPY SERVICES HUDDLE GUIDE

PHARMACY

Identify barriers to medication access and ensure safe medication transitions.

Pharmacist Huddle Guide

UTILIZATION

Confirm appropriate utilization and update medical stability.

UM Huddle Guide

UNIT LEADERS

Escalate discharge barriers and coordinate solving complex issues.

Unit Leader huddle guide

All links

All huddle guides and introduction powerpoints are linked here.

all links