Proactive Rounding Based on Clinical Surveillance: A Team Approach for Rapid Response and Improved Patient Outcomes

LIVE WEBINAR | September 6, 2018 | 2:00 p.m. ET


Hospitals are leveraging the Rothman Index (RI) to re-invent the Rapid Response Team (RRT) model and drive earlier clinical intervention. Through early intervention, it is possible to significantly reduce mortality, ICU bounce backs, unplanned transfers to ICU, and codes outside the ICU. By using a proactive rounding model guided by clinical surveillance, leading hospitals have found a successful strategy for achieving the long-awaited benefits of RRTs.
When a clinical team conducts proactive rounding with the Rothman Index (RI), clinicians can focus attention on at-risk patients and re-establish appropriate care levels before there is a patient crisis. In this webinar, we will review foundational information about the RI, and two partner hospitals will share their approaches to integrating proactive rounding with their clinical workflows - leading to powerful results.



  • Heather Bramblett, BSN, RN, CCRN, Director of the Clinical Administrators, Carilion Roanoke Memorial Hospital
  • Janine Hair BSN, RN, Nurse Resource Coordinator, Penn State Health Milton S. Hershey Medical Center

Webinar attendees will be able to:

  • Describe the shift from reactive to proactive care delivery
  • Establish clear roles and responsibilities for proactive rounding with a clinical team.
  • Improve usage and effectiveness of rapid response teams.
  • Demonstrate how the RI can inform and enhance proactive rounding
  • Increase communication among team members and departments.
  • Define surveillance and rounding strategies that impact clinical outcomes


Heather Bramblett, BSN, RN, CCRN

Director of the Clinical Administrators, Carilion Roanoke Memorial Hospital


Bramblett Headshot





Heather Bramblett graduated from Jefferson College of Health Sciences and began her nursing career on the Neuro/Trauma Progressive Care Unit at Carilion Roanoke Memorial Hospital. She transferred to Neuro/Trauma Intensive Care Unit where she continued to grow her critical care skills, while serving as a preceptor and Clinical Team Leader. Heather then transitioned to the Clinical Administrator role. She completed her BSN last fall and become the director of the Clinical Administrators and Medical Interpreters.

Janine Hair BSN, RN

Nurse Resource Coordinator, Penn State Health Milton S. Hershey Medical Center







Janine Hair is a Nurse Resource Coordinator at the Penn State Health Milton S. Hershey Medical Center. She served patients as an Emergency Department Nurse at UPMC and Pinnacle Health. Janine is a leader in codes and rapid responses. She also uses the Rothman Index and educates staff. She was awarded “The Daisy Award for Extraordinary Nurses” and the UPMC

“Award for Commitment and Excellence in Service.” She earned her BSN from the Franciscan University of Steubenville.