A program like this was piloted on my unit late last year. We are a telemetry floor/cardiac stepdown with 64 beds. On nights, we have 16-18 RNs and 2-4 techs.
We were supposed to inquire about
environmental comfort (temp, lights, etc)
and any other desires that the pt had.
We objected STRONGLY to the instruction that we wake pts to ask these questions, and this was altered prior to implementation.
The results were presented [internally] last week.
Generally speaking, the results were:
Staff thought it was annoying and generally ineffective.
Pts knew they were being checked on frequently, but it had no appreciable effect on pt satisfaction.
Call light use did not change.
Fall frequency did not change.
There has been no movement to make this a lasting policy, though several of us do make an effort to check on people at least once per hour. Often, that's just me tiptoeing in with my little flashlight, listening for breathing, checking the IV fluids and IV site, checking urinals and foleys, squirting some hand scrub and sneaking back out.
Quote from LilyBlue
I am a frequent presence in my patients' rooms, to be sure, but it's probably more like every two hours for some patients - and more often than every one hour on more critical patients.
See, this sounds like professional competence. A "policy" that requires q1 rounds impairs professional competence; it's what an ancient teacher of mine called "monkey medicine" where you just do what the paper (hospital policy) tells you to do, and try to remove the capacity for a professional to make individualized judgments.