Hourly Rounding - Answer systematic, proactive, nurse-driven evidence-based process
designed to anticipate and address needs of hospital patients
Rounding - Answer -increase patient satisfaction
-patient falls decreased 50%
-skin breakdown reduced 14%
-call lights dropped 38%
Hostess - Answer -person in the hospital who rounds every patient 4 times each shift
-answer call lights within 5 minutes and addressed requests that did not require a
licensed staff members
Hostess Tasks - Answer -adjusting room temperature
-providing patients with juice, water or pillows.
Factors influencing opinions about satisfaction - Answer -response to call lights
-timely assistance to the restroom
-timeliness and appropriateness of pain control
-friendliness of the nurses
-effective exchange of information with nurses.
-Staff responsiveness to their needs
-prompt answering of the call bell.
Rounding Purpose - Answer -allows the nurse to focus on the needs of each patient ->
get the full attention
-nurse will address all patient needs
--pain
--restroom
--comfort and position
, --information
--treatments
--meds
--other requests
Purposeful hourly rounding - Answer -rounding requires specific actions and words, or
scripting, on the part of the nurse who rounding
-anticipate patient needs instead of reacting to patient needs by waiting for the patient
to use the call bell
The P's of Rounding - Answer -pee/potty
-pain
-position
Potty/pee - Answer -offer patient assistance with restroom needs
-caution not to get out of bed alone
Potty/pee example - Answer "do you need to use the restroom now? May I help you to
the restroom?"
Pain - Answer -Address patient's pain a every round
-use scale 0-10
-document medication given and when next dose is due on inroom communication board
-explain pain med, adverse effects, dose
Pain Example - Answer "I will round on you every hour to make sure your pain is under
control
Position - Answer -assess patient position and reposition as needed for comfort.
-assist into or out of bed and chair
Position Example - Answer "is there anything I can do to make you more comfortable?"
Other P's - Answer -pump
-periphery
-plan
-possessions
-parting
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