joycel,
I applaud your effort to get things set up so staff have more time to round with the docs. I was supervisor at a teaching hospital not too long ago and we made a real effort to get things set up so a supervisor and the therapist assigned to the unit could attend rounds. It is tough to reliably assign acuities to these patients as ones you think may take up much time and ones you don't will often surprise you and both will go the opposite way. You can expect to be running a patient to CT, MRI and Cath Lab, only to have all placed on hold when the family decides to withdraw or see what seems to be a basic care patient require hours of attention on NIV>tough intubation>vent>multiple changes/abgs>HFOV etc. Any bed that empties can result in a slam with who knows what from ER or the floors. I am sure there is a good readily applicable system for at least laying out a plan based on the patients' current status. You might consider the rounds to have the same time requirement as any one vent and assign accordingly. Whatever means you arrive at it is well worth getting the time to round with the docs. It is great to be able to be there to put in your 2 cents at just the right moment to effect the flow of care. It is beneficial to the patient's outcome, and it really helped us to develop more and more respect with the Pulmo and CC services as well as being unbelievably educational. We found it really beneficial to have the two (unit therapist and sup) present as one would always get run around on stat gasses or setting up for stat bronch, etc. that would be decided on and the other could continue to hang in with the docs. This was the ideal, which we couldn't realize every day, but when it worked it was way cool.

Good luck