At Shriners Hospitals for Children, the health and safety of our patients, families, volunteers and staff is our top priority. With the evolving situation regarding COVID-19, we are closely monitoring updates from local health departments and the Centers for Disease Control and Prevention (CDC), and are actively following their recommendations.

If your child has an upcoming appointment, please contact your local Shriners Hospitals for Children location.

Shriners Hospitals for Children — Honolulu visitor information.

Skip to navigation

What we're up to

news News Monday, May 18, 2020 Monday, May 18, 2020 2:00 PM - Monday, May 18, 2020 2:00 PM

Virtual rounding brings Honolulu Shriners Hospital into new dimension of health care

Nurse-driven initiative proves beneficial for both patients and providers

Virtual rounding brings Honolulu Shriners Hospital into new dimension of health care

Unprecedented times call for innovative solutions. When faced with the challenge of how best to deliver patient care during the global coronavirus disease 2019 (COVID-19) pandemic, nurses at Shriners Hospitals for Children — Honolulu turned to the most logical place – their computer screens.

The Honolulu Shriners Hospital implemented virtual rounding on its inpatient unit in April 2020 to decrease potential risk of COVD-19 exposure and to conserve limited supplies of personal protective equipment.

“The idea was to create rounding at the bedside using iPads to decrease the amount of people in the room at one time to protect the patient and the staff,” said inpatient manager Paulette Nakamatsu, RN. “Our information services staff brought up the iPads, and virtual rounding was born that day!”

During virtual rounding, the inpatient nurses are the only members of the health care team in the room with the patient and family member. Everyone else – including the doctor, physical therapist, pharmacist, dietitian and care manager – joins the multidisciplinary examination via a teleconferencing app.

“I think it gives everybody the opportunity to be present and participate in the rounds without having to physically be here at the hospital,” said Mike Nishimoto, APRN, who leads the virtual rounding sessions.

“There was a lot of trial and error in the beginning, but we learned we had to identify who will lead the visit and create a script,” said Isabel Romero-Agsalda, RN. “There are other technical difficulties we’ve had to work out, but it’s been a good learning process. Every time we do it, it gets easier and better.”

Since launching the initiative, the Honolulu Shriners Hospital nurses report other benefits to examining patients using a virtual platform.

“Before, there used to be a whole bunch of people in the room at one time, but now, there’s only the nurse and the nurse practitioner with the patient. It’s a little more intimate but still allows everybody to give their input,” Paulette said.

“Virtual rounding is less intimidating for some families, too,” noted Lindsey Vandolah, RN. “When large groups of people come in during rounds, our patients can be scared, especially our younger ones. But most patients are familiar with iPads and computers, so as long as they can see who is on the screen, they seem more comfortable.”

“I like that I can hear different people talking and I like seeing who’s on the iPad,” said a 12-year-old patient.

Paulette and Mike expect virtual rounding to continue for the foreseeable future, or at least as long as public health and government officials recommend masking, social distancing and limiting the number of people who can gather in a confined space.

“It’s the changing ways of medicine now,” said Mike. “We have to adapt to the new era of virtual visits and finding ways to take care of patients, regardless of the situation.”

Virtual rounding sessionVirtual rounding session