As part of the care team I do not believe getting permission to share pertinent information for somebodies care is needed to share with the care team. For instance in the story I shared, I shared with the person’s nurse what I learned, which helped the nurse be more supportive for the person. I let the person know I would share the information with her nurse and care team. I the person questions that, we can dialogue about how it would benefit care and healing.
We have daily multidisciplinary care conferences about the people in the ICU. I make regular rounds in the ICU and interact with people and their family members to try and alleviate the thinking that the Chaplain comes only when things are bad. I share insights I have gained from with the care team as appropriate.
I work at referring to people as people not patients – for instance a person with cancer, not a cancer patient – a person with cardiac issues, not a cardiac patient etc. For me this keeps the human element up front.