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Commitment to Excellence: Hourly Rounding

Commitment to Excellence: Hourly Rounding . What If You Could…. Reduce call lights by 38% Reduce patient falls by 50% Reduce skin breakdown by 14% Improve patient satisfaction by 12 points AND Gain back 166 hours per month back to nursing staff?. Hourly Rounding. However….

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Commitment to Excellence: Hourly Rounding

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  1. Commitment to Excellence: Hourly Rounding

  2. What If You Could….. • Reduce call lights by 38% • Reduce patient falls by 50% • Reduce skin breakdown by 14% • Improve patient satisfaction by 12 points AND • Gain back 166 hours per month back to nursing staff?

  3. Hourly Rounding

  4. However…. • You must instruct the patient and/or family on admission about hourly rounding (scripting). Tell about the 8 behaviors and the documentation. • Must be done consistently by each caregiver. Every Patient, Every Time.

  5. 8 Behaviors of Hourly Rounding • Key words/Introduction • Perform scheduled tasks • Address Pain, Potty, Position • Address other comfort needs • Conduct environmental rounds • Use closing key words/actions • Explain when you will return • Document the round on log

  6. Key Words/Introduction • Key Words let the patient know who you are, what your role is and level of expertise. • “Round” is a familiar term with patients and they know – if consistent – what to expect each time. • This consistency builds trust and helps to reduce patient anxiety.

  7. Perform Scheduled Tasks • Complete any scheduled tasks that are needed for that patient. • Included would be medications scheduled for that hour, treatments, procedures, feedings, etc. • Allows inclusion of scheduled work in the rounding process so that everything can be accomplished in just one trip.

  8. Assess and address the 3 P’s • Address the 3 items that call lights are used most often – pain, potty and position. • Address proactively and you can reduce majority of call lights.

  9. Address Additional Comfort Needs • Fluffing pillows • Straightening sheets • Filling water pitchers • Offering something to drink

  10. Conduct Environmental Assessment • Is the call light within reach? • Is the telephone within reach? • Are the light switch and TV control accessible? • Is the trash can next to the bed? • Is the bedside table within reach? • Does the patient look comfortable and is the patient covered to protect personal privacy? • Is the room clear of clutter?

  11. Use Closing Key Words and/or Actions • “Is there anything else I can do for you?”

  12. Explain When You or Others will Return • When you tell patients when you will return, they will begin to cluster their requests in the context of the round.

  13. Document the Round on the Log • Accountability Measure

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