Do you round on your patients every one hour? - page 4

I work on a tele floor where it is not uncommon at all to have nine patients. Seven or eight is usually the number I have. We also usually have only two techs on nights, so one tech to fourteen patients. It's a very busy floor. ... Read More

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    Quote from nursemike
    i have to admit, there do seem to be a few nurses who need to be reminded that it's about the patient, but they seem to be a very small minority. since i don't have an mba, it seems more logical to me to get rid of them than to burden the very good nurses with a lot of crap aimed at the lowest-common-denominator. a lot of us feel we end up having to fight to give better care than the system demands/allows, because the system is too "one size fits all," because the people running the system don't spend a lot of time at the bedside.

    but i'm just a nurse. what do i know?
    i snipped out some of your very good post so as not to subject everyone to incessant scrolling.

    i have an mba, and it seems more logical to me to get rid of those nurses who don't understand it's about the patient than to burden the other nurses with a lot of crap aimed at the lowest common denominator. and i still find the idea of mandated hourly rounding with a sign-in sheet (and a do-nut, for heaven's sake!) highly insulting. but then, despite my advanced education, i'm just a bedside nurse.
    canoehead, Altra, and nursemike like this.

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  2. 1
    Quote from ruby vee
    i snipped out some of your very good post so as not to subject everyone to incessant scrolling.

    i have an mba, and it seems more logical to me to get rid of those nurses who don't understand it's about the patient than to burden the other nurses with a lot of crap aimed at the lowest common denominator. and i still find the idea of mandated hourly rounding with a sign-in sheet (and a do-nut, for heaven's sake!) highly insulting. but then, despite my advanced education, i'm just a bedside nurse.
    thank you for this fine example that a surplus of education does not have to be an insurmountable handicap.

    you know, i truly do believe that everyone from my nm to my ceo wants to do the right thing, and many times they do. but i also believe that a lot of the humble, or icky, or heart-rending, or inspirational tasks we do on a daily (or nightly) basis have a lot to do with keeping us grounded in reality.
    Altra likes this.
  3. 0
    (((I'm sorry)) I skipped a few pages. I instruct my students- to round every hour. They have 1. That's one patient. They should look at IV. Bathroom. Pain. Food. Tissues and other needs. Clear tray and ask what the pt needs.

    In my own practice-I have 3-5 patients. I ask the same. I am obsessive about removing old trays and garbage. Empty the hat of urine/stool.
    I go around every hour and make sure the IV will not go off and they have what they need. Compulsive? yes. BUT I think that is what makes a good nurse.


    Just MHO. If you were in the hospital and had to save everything. Had your IV beeping every few hours- when trying to rest. Would you not be disturbed?
    And now you have to call to have your hat emptyied with urine? NOT on my watch. Off of soap box now.
    :typing
  4. 1
    Quote from oncnursemsn
    (((I'm sorry)) I skipped a few pages. I instruct my students- to round every hour. They have 1. That's one patient. They should look at IV. Bathroom. Pain. Food. Tissues and other needs. Clear tray and ask what the pt needs.

    In my own practice-I have 3-5 patients. I ask the same. I am obsessive about removing old trays and garbage. Empty the hat of urine/stool.
    I go around every hour and make sure the IV will not go off and they have what they need. Compulsive? yes. BUT I think that is what makes a good nurse.


    Just MHO. If you were in the hospital and had to save everything. Had your IV beeping every few hours- when trying to rest. Would you not be disturbed?
    And now you have to call to have your hat emptyied with urine? NOT on my watch. Off of soap box now.
    :typing

    With three to five patients, these grand ideas are extremely possible. With nine, not so much.
    oncnursemsn likes this.
  5. 0
    I work on a busy tele floor with 4-5 high acuity patients. It comes down to Press Ganey and pt satisfaction. It is an unrealistic expectation and I would love to see management (when was the last time they were on the floor anyway) implement this in reality vs. in theory. It's just one more thing for us to do. i tell my pt's that I will do my best to check on them and inquire about (fill in the blank), but that if I don't, please use the call light. Most are ok w/that.
  6. 0
    I work on a floor where we get 6-7 patients at night. We are required to do hourly rounding but I do not wake up patients if they are sleeping. I step into the room to make sure they are still breathing, IV is still going, etc and move onto the next patient. I usually split the rounds with the PCA, I'll do odd hours and they do even or vice versa.


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