What takes place in a round?
This P makes the patient comfortable and prevents skin breakdown
What is position?
This is harmful to our patients, but significantly decreases with the implementation of hourly rounding
What is patient falls?
Seasoned nurses are reluctant to change because it isn't the way things were done in the past
What is Buy in?
Nurses stated that this "feels like big brother" and causes them increased anxiety, fatigue, depression, and other nervous disorders.
What is Electronic tracking?
This should be done differently for each unit or hospital setting as they are all unique and have different needs.
What is develop a process?
This P may need to be addressed if a patient needs a snack or to use the restroom
What is Personal Needs?
My patient doesn't have to use this as much when I anticipate their needs
What is a call light?
Administrative tasks that are already burdensome and time consuming for nurses, hourly rounding would increase the amount and time needed to do this.
What is documentation?
Nurses reported feeling like a telemarketer because they have to repeat this during hourly rounding.
What is a script?
Nurses have more of this available to focus on quality patient care when they are adequately staffed and patient assignments are evenly distributed.
What is time?
This P is often called the "fifth vital sign"
What is Pain?
Nurses can quickly identify and/or prevent this by repositioning our patients during hourly rounds
What is skin breakdown?
Without UAP, transport, phlebotomist, etc. these jobs land on the nurse due to this.
What is inadequate staffing?
This is a result of patients having to use the call button less often because they know you will be checking on them every hour.
What is Patients have a better experience/increased patient satisfaction?
This customizable notification can tell a nurse when it's time for their hourly rounds.
What is automated alert?
This R requires therapeutic communication and helps reduce the patient's anxiety
What is Reassure?
Nurses do less of this because of the reduction in call light use due to hourly rounding
When there is a high patient to nurse ratio, prioritizing care can be difficult because of this.
What is acuity?
There are less of these due to nurses implementing hourly rounding and being able to catch issues before they worsen.
What is less codes?
Using this instead of a script will allow a nurse to catch details they otherwise would have missed and make the patient feel more comfortable.
What is open-ended questions?
This R prevents the patient from having to get out of bed and reduces their chances of falls
Surveys sent to patients after their hospitalizations show an increase in this
What is patient satisfaction?
This barrier occurs when calls from providers interrupt patient care along with call lights and multiple patients requiring attention at the same time.
What is unexpected events/interruptions?
This is the most important thing to do if you can't round for any reason.
What is Protect your license!
This is important for leadership to give their nurses due to the unpredictability of the job and in case of emergencies. Hourly rounding should look different for each patient, situation and time of day.
What is flexibility/understanding?