Bedside working rounds can be one of the most cognitively complex situations in clinical medicine. Team members develop a mental model of the patient synthesizing electronic health record (EHR) information and information that is verbally transmitted during shift-to-shift communication. Each provider must synthesize and filter a large amount of information, which can be error prone. Rounds are also prone to interruptions. Despite interruptions, because the EHR allows for each individual provider to interact with the patient chart and there is an expectation that each team member fulfills a different role for the same patient, the team should develop a shared mental model to enable optimal workflow and provide optimal care. In this case study describing the bedside working rounds in a pediatric intensive care unit (PICU), we will explore each of these issues in depth.