Hourly Rounding for Improved Patient Care

1. Hourly Rounding for Improved Patient Care

2. 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!

3. 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

4. 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?

5. What Happens During a Round? 3 P’s 4 R’s Pain - Evaluate pain level. Position - Help the patient get comfortable. Personal needs - Offer help using the toilet. 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.

6. 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.

7. 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

8. 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

9. Implementation Kit for Rounding • Record of Hourly Rounds • Hourly Rounding I & O sheet • Hourly Rounding Log • Visit card • Statement of commitment

10. Rounding Initial Sheet This sheet is posted daily beside each patient’s bed.

11. HourlyRounding I & O Sheet This sheet is used to record the patients intakes and outtakes hourly

12. Hourly Rounding Log The rounding log is kept at the nursing station or on the nurse’s clipboard. It improves communication between staff members.

13. Visit Card The nursing staff member leaves a visit card on the table if the patient is sleeping

14. Statement of Commitment After they have been trained, all staff members will make a written commitment to the success of hourly rounding.