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Intentional Rounding The Salford Royal Experience

Intentional Rounding The Salford Royal Experience. Chris Pearson & Julie Molyneaux Divisional Directors of Nursing. About Salford Royal. Income £400m 6,014 staff 51,000 inpatients 588,000 community contacts 28,000 day cases 77,500 new outpatients 220,000 follow-up outpatients

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Intentional Rounding The Salford Royal Experience

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  1. Intentional RoundingThe Salford Royal Experience Chris Pearson & Julie Molyneaux Divisional Directors of Nursing

  2. About Salford Royal • Income £400m • 6,014 staff • 51,000 inpatients • 588,000 community contacts • 28,000 day cases • 77,500 new outpatients • 220,000 follow-up outpatients • 78,000 A&E attendees

  3. What do we consider important ?

  4. Quality Improvement Strategy

  5. Driver Diagram

  6. What Is Intentional Rounding? • An approach to checking on patients needs • The rounding happens every 1-2 hours & is undertaken by the responsible nursing staff • Specific questions are asked and needs met • It is for the ward to test and implement a system in which intentional rounding works for them – an important part of nursing duties

  7. Why Do It? • Reduced call bells by 37.8% • Reduced miles walked by nurses by 1.6 • Reduced falls by 50% • Reduced pressure ulcers by 14% • Improved patient satisfaction scores Studer Group’s Alliance for Health Care Strategy (AHCS) research

  8. The 4 P’s

  9. Intentional Rounding Form

  10. Patient Information

  11. Pillow Card

  12. Concerns & Challenges • Tick box exercise • Reduction in autonomy • “Mithering” patients • Time-consuming • Too much focus on process rather than philosophy • Seeing the patient reliably every hour is good thing

  13. Reliability

  14. Pressure Ulcer Data

  15. Next Steps • Ensure reliability • Ensure meaning • What matters most? • Reviewing the process • Community rounding

  16. Prime Minister’s Visit to Salford

  17. Nursing and Care Quality Forum • The forum will seek out good practice, and advise on implementation. • The prime focus will be to exhibit national leadership to stimulate local action by those delivering care to address problems and promote the improvements needed across services. • The forum will have its own independent chair • Membership that brings diversity in knowledge, expertise and interest. • It will be expected to use research, establish an evidence base, listen to a wide range of views and synthesise best practice.

  18. Workstreams • Empowered and accountable nurse leadership • Time to Care • Right culture, right values • Involve, listen to, hear

  19. Questions?

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