Our interdisciplinary patient care planning process began with team members convening in a closed room "talking" about the patient. The patient, family, physician, and even the staff nurse at times were unable to attend. No medical record was available for use. This article discusses the vital role of the nurse manager in the evolution of Health Care Team Rounds and the impact of the behaviorally based competencies on the process. When all is said and done, this is why we are here. This is our work!