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The Power of Rounding

The Power of Rounding. Southwest Memorial Hospital Cortez, Colorado (Four Corners Region) 25 beds Critical Access Hospital (Small, Rural). HEN Team at Southwest Memorial. Heather D. Nowlin, MSN, RN, CNOR, Director of Surgical Services

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The Power of Rounding

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  1. The Power of Rounding Southwest Memorial Hospital Cortez, Colorado (Four Corners Region) 25 beds Critical Access Hospital (Small, Rural)

  2. HEN Team at Southwest Memorial Heather D. Nowlin, MSN, RN, CNOR, Director of Surgical Services Marc J. Meyer, RPh, BPharm, Infection Preventionist, Pharmacist Dave Mortensen, RPh, BPharm, Director of Pharmacy Jessie Neitzer, Director of Risk Management Joe Deeter, MS, MHA, CPHQ, CPPS, Director of Quality

  3. Soil vs. Seed: Our Story • SWMH participates in the P4P & HEN through the Colorado Hospital Association (CHA) • Organizational history of significant leadership change • “Quality” was synonymous with data reporting • “Good-Enough” vs. “Excellence” • To prepare the soil, we embraced rounding • Concept behind rounding: Every interaction is data and that words do mean something • Individual choice to “Do Something” vs. “Do Nothing”

  4. Different Types of Rounding • Rounding with Patients • Rounding with Team Members • Rounding with other Leaders • Rounding always has a purpose and we have developed a communication structure to support our rounding activities

  5. Has Rounding Changed Anything? • Rounding has been a long-term practice at SWMH, even though it has become more structured • Rounding is both proactive and reactive • Fall prevention • Pressure ulcers • Re-admissions

  6. Leader Rounding on Patients • Leadership rounding withpatients prior to entering surgery • Lowering expectations of pain (we cannot make pain go completely away but we can make it tolerable.) • Potentially prevent ADE’s with PCA pumps on floor • Improved SDS HCAHPS scores 13% • Pharmacy rounding withpatients to educate on medications • Improved HCAHPS scores 21% vs. LY

  7. Leader Rounding on Staff • Development of screening tools for nurses to use during pre-op visit • Holding of anticoagulation • Calculation of BMI for anesthesia • Identification of barriers • Identification of “what’s right”

  8. Leader Rounding on Leaders Examples. • Use of ATP technology on cleaning our scopes • Process of handling and cleaning • Screening for MRSA • Identification of “Good Catches” • Improved departmental service score 40%

  9. Take Home Messages • Rounding works when you connect words to action (from transaction to relationship) • With patients • Patient experience • Patient understanding • Quality & safety • With team members • People and process • With internal customers

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