Transcript Hourly Rounding for Improved Patient Care

Hourly Rounding for
Improved Patient Care
How would you like to have
 Fewer call light interruptions in your day
 More free time for your other tasks
 More control over your daily schedule
 Happier, more satisfied patients
 A quieter unit throughout the day
 Significant reduction in patient falls
Try Hourly Rounding!
How Does Hourly Rounding Work?
 A member of staff visits each patient
 Hourly from 6 a.m. till 10 p.m.
 Every two hours between 10 p.m. and 6 a.m.
 Nurses and nursing assistants alternate visits
 Patients’ basic needs are met all at once, not via
multiple call lights
Discussion
 What were your first impressions of the article, “Putting
Hourly Rounds into Practice”?
 Did anything about this article surprise you?
 Was there anything the author described that you would
do differently?
 What ideas would you suggest to make hourly rounding
more successful in your unit?
What Happens During a Round?
3 P’s
 Pain - Evaluate pain level.
 Position - Help the patient
get comfortable.
 Personal needs - Offer
help using the toilet.
4 R’s
 Rx - Provide any needed
medication (RN visits only).
 Reach – Are all the patient’s
needs (call light, phone, reading
material, etc.) within easy
reach?
 Respond to questions. Ask if
there anything else the patient
needs.
 Reassure - Express care and
concern. Let the patient know
at what time the next rounding
visit will occur.
What Happens After A Round?
 If the patient is asleep, leave a “visit
card” on the table.
 On the Record of Hourly Rounds that is
posted in the patient’s room, record
your name and the time of your visit.
 On the Hourly Rounding Log, which is
kept by the staff, record the promised
return time as well as the goals for the
next visit.
Why is Hourly Rounding Effective?
 Lets your patients know they are not alone
 Builds your patients’ trust in you
 Lets your patients know what to expect
 Greatly reduces call light use, improving your efficiency
 Reduces the distance you have to travel back and forth to
your patients’ rooms
What Evidence Shows that Hourly
Rounding Works?
Research on hourly rounding in 14 hospitals* showed:
 9-point sustained increase in patient satisfaction overall score
 52% reduction in patient falls
 37% reduction in call light use
 14% decline in skin breakdowns
 In addition, one hospital measured a 20% reduction in the
distance walked each day by the nursing staff
Implementation Kit for Rounding
 Record of Hourly Rounds
 Hourly Rounding I & O sheet
 Hourly Rounding Log
 Visit card
 Statement of commitment
Rounding Initial Sheet
This sheet is posted
daily beside each
patient’s bed.
Hourly Rounding I & O Sheet
This sheet is
used to record
the patients
intakes and
outtakes hourly
Hourly Rounding Log
The rounding log is kept at the nursing station or on the nurse’s
clipboard. It improves communication between staff members.
Visit Card
The nursing staff
member leaves a
visit card on the
table if the patient is
sleeping
Statement of Commitment
After they have
been trained, all
staff members will
make a written
commitment to the
success of hourly
rounding.