Commitment to Excellence: Hourly Rounding

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