Education is an important component of the multidisciplinary rounds; every team member gets a chance to provide his or her expertise and to bring up any new research or evidence-based practice. A sign-in sheet is maintained to track the participation of all disciplines involved in the plan of care.
The Define Measure Analyze Improve Control (DMAIC) Process. DMAIC is a data-driven quality strategy used to improve processes. It is an integral part of a Six Sigma initiative, but in general can be implemented as a standalone quality improvement procedure or as part of other process improvement initiatives such as lean.
The Test Sample. Vanillylmandelic acid (VMA) is one of the metabolites of the catecholamines epinephrine (adrenaline) and norepinephrine. This test measures the amount of VMA that is excreted into the urine, typically over a 24-hour period, to detect excess catecholamine production. Catecholamines are a group of similar hormones produced in the central portion of the adrenal glands, the adrenal medulla.