Hourly rounding... I have the time

Nurses General Nursing

Published

I'm fine with the hourly rounding thing. Actually think it is a good idea and honestly has saved me from annoyance a few times from pts that had said I hadn't been in the room. All my manager had to do was look at the rounding sheet and see my initials and times I had been in the room.

What really is bugging me is how far the hospital has taken this. Every nurse in the hospital has been tested, with actual pts and management watching us. We have a script we have to follow and and have to hit every point... such as when introducing ourselves we have to "build ourselves up" ..."I have been a nurse for __ yrs, I am a certified tele nurse", etc and build up our co-workers or other departments... "Jane is your PCT today...she is excellent!" We also have to ask EVERY time if they need to use the washroom. No exceptions. Even if the pt is independent. The list goes on.

Mgmt is actually asking the pts if we are going through the whole stupid script everytime we go in the room, and we are getting written up if the pt says no. It takes about 5 min to go through it properly and that is if the pt doesn't ask for anything.

I really didn't need this to ensure I see my pts... I am sick of feeling like I am being baby-sat or that they don't trust us to do our freakin job. There are so many other things that mgmt need to spend their time on that could actually make some difference to their staff and pts. An Rn or PCT was already in each room hourly (at very least) without this craziness. They think it is going to cut down on call-lights, but fail to realize that most call-lights are from pts that are overly needy, confused or the few that are just plain jerks and like to make us run around. Mgmt also thinks this will raise our scores... and have gone overboard with this instead of fixing the actual problems.

I am sorry this is so long. I am just so annoyed with the stupidity of mgmt in the hospitals.

Specializes in dialysis (mostly) some L&D, Rehab/LTC.
What really is bugging me is how far the hospital has taken this. Every nurse in the hospital has been tested, with actual pts and management watching us. We have a script we have to follow and and have to hit every point... such as when introducing ourselves we have to "build ourselves up" ..."I have been a nurse for __ yrs, I am a certified tele nurse", etc and build up our co-workers or other departments... "Jane is your PCT today...she is excellent!" We also have to ask EVERY time if they need to use the washroom. No exceptions. Even if the pt is independent. The list goes on.

OK I see a new movie "Stepford Nurses"...Who in Hollywood would be in the starring roles?:nurse:

The patients are the ones sending their complaints to management, about the nurse never coming in the door.

I personally don't think most management is that far removed --although a lot are!

What area do you work in, and in what capacity?

Specializes in Pediatric Heme/Onc/BMT.

While watching the training video with another new grad, I turned to her and said, "Good morning, my name is _____ and I'm going to be your nurse today. I've been a nurse for about...uh...30 seconds."

I think the idea of hourly rounding is great - such a great one, that most nurses already have been doing it for ever. But, sorry, this is a public hospital and not the Hilton. I'll do my best, but you're not getting a choreographed song and dance from me.

Specializes in PICU/NICU.

I feel your pain!!! We too just started using those stupid hourly rounding sheets---- I work in the ICU and I pretty much do not leave my patient's room! I document a FULL head to toe assessment every hour(and depending on the pt- maybe more frequently) Yet still, I am required to initial the form hanging on the wall just to prove I was there! Just like the bathroom cleaning schedule at the local burger chain!!!!

Even the parents think this is completely stupid-- like when have they ever been thinking "gee, I haven't seen my kids nurse for 5 hours"???

The day I'm handed the script will be the day I hang it up for good!!! This BS is getting out of control!!

Management does not seem to care if I haven't peed or eaten in 12 hours or that I am required to work overtime, but gosh darnit, I had better fill out the hourly rounding form!!:banghead:

Perhaps, like others have said, It will take patients complaining about being disturbed every hour and read a script to stop this nonsense!!:rolleyes:

It's absurd. Waking sleeping patients for no reason, scripted answers...we aren't robots and our patients deserve to be treated as individuals. Thankfully my employer doesn't have any of this crap. It's insulting to all involved. Nurses are smart enough to address the situation appropriately.

I'm not going in as happy bouncy nurse when my 25 year old patient just lost his leg. I will be calm, comforting, and sweet but in a quiet and understated way to acknowledge their loss in a real and human way. The script just isn't appropriate here and that holds true for a lot of situations in a hospital.

I always see my patients every hour and if I am having an emergency with a patient I will ask the CNA or another nurse to pop in to be sure they are okay. We all do this for one another as needed.

I have been getting these scripted speeches when I call cable, etc. and despise it. I even demand they stop in a really nice and polite way to give them a break and hopefully a little ammo to let their employer know a customer complained. I especially like to do it when on a taped line so management can hear it.

Specializes in Family Practice, Mental Health.

I work in the ICU. If this ever came between me and my patient care, I think I would pull my hair out.....then again, this is probably how it could go;

"Hi my name is Anne, I'll be your RN tonight." "What's that?" "Oh silly me....of course you can't talk with that ETT down your throat."

"I guess I won't bother asking you if you need to potty since you've got a foley catheter. Is there anything else that I can do for you? I have the time, even though my patient is crashing next door."

"Gee...Maybe I should turn down that Propofol infusion, I can't seem to get this form filled out correctly.........."

Specializes in vascular, med surg, home health , rehab,.

"Might just as well add a cane and top hat.:monkeydance::

Love that comment. Not been called on to do the above and honestly don't think I could. How sad that its come to nursing as nothing more than being a chirpy, no doubt annoying as hell to a sick pt, waitress. Thats the day I am hanging it up. After so many years working my butt of trying to make sure that my pts get the care they need, I will be damned if some pencil necked suit will tell me what to say to the people I take care of. And do they really think that just for one second anyone other than a total moron will be fooled by this garbage? Haven't we all been to restaurants or stores where the staff are just that bit too much? All it makes me do is bolt. Give me a grumpy waitress and great food than a super duper friendly and insincere robot with lousy food anyday. God are we being turned into the ultimate restaurant: Specials today: Lap-choly with a side of DVT, free as your nurse is reading scripts and didn't notice. Good god this make me so mad.

Specializes in LTC, assisted living, med-surg, psych.

Yep, that's what the world needs..........Stepford nurses.:icon_roll

Even if I weren't almost 50 years old and a gray-haired granny, as an educated professional I have no problem "Just Saying NO" to scripting. It's insulting, demeaning, degrading, and ridiculous, and hospital administrations push this only because they can. If even three-quarters of the nursing workforce were to refuse to be humiliated in such a manner, it wouldn't be spreading like wildfire across a country which is already drowning in its entitlement mentality.

Honestly: what other profession would permit this sort of thing to be shoved down its throat? Can you imagine an attorney, a physician, even a plumber saying, "What else can I do for you? I have the time" even ONCE, let alone a dozen times during an average day?? Yeah, when elephants roost in trees.

Truthfully---this foolishness only persists because we allow it. What are hospitals going to do when nurses grow some dignity and refuse to be treated like children? They can't fire ALL of us..........

Specializes in MICU, SICU, PACU, Travel nursing.
I'm fine with the hourly rounding thing. Actually think it is a good idea and honestly has saved me from annoyance a few times from pts that had said I hadn't been in the room. All my manager had to do was look at the rounding sheet and see my initials and times I had been in the room.

What really is bugging me is how far the hospital has taken this. Every nurse in the hospital has been tested, with actual pts and management watching us. We have a script we have to follow and and have to hit every point... such as when introducing ourselves we have to "build ourselves up" ..."I have been a nurse for __ yrs, I am a certified tele nurse", etc and build up our co-workers or other departments... "Jane is your PCT today...she is excellent!" We also have to ask EVERY time if they need to use the washroom. No exceptions. Even if the pt is independent. The list goes on.

Mgmt is actually asking the pts if we are going through the whole stupid script everytime we go in the room, and we are getting written up if the pt says no. It takes about 5 min to go through it properly and that is if the pt doesn't ask for anything.

I really didn't need this to ensure I see my pts... I am sick of feeling like I am being baby-sat or that they don't trust us to do our freakin job. There are so many other things that mgmt need to spend their time on that could actually make some difference to their staff and pts. An Rn or PCT was already in each room hourly (at very least) without this craziness. They think it is going to cut down on call-lights, but fail to realize that most call-lights are from pts that are overly needy, confused or the few that are just plain jerks and like to make us run around. Mgmt also thinks this will raise our scores... and have gone overboard with this instead of fixing the actual problems.

I am sorry this is so long. I am just so annoyed with the stupidity of mgmt in the hospitals.

Kind of reminds me of a sales associate position I had once at Claire's (the jewelry place in the mall), where I was forced to say "welcome to Claire's!! My name is Susannah and today we have 20% off all red tags!! Would you care for a basket to meet your shopping needs? Can I help you find something?"

People were so annoyed and not receptive at all, and if I didnt say it to EVERYONE who walked through the door I was written up.

Thats kinda why I went to nursing school in the first place, was to get away from this kind of stuff:rolleyes:..................................

Specializes in MICU, SICU, PACU, Travel nursing.
I think if all the money that hospitals spent on paying Press Gainey and the other customer service groups, and the money the hospitals spent on the suits to make sure staff is doing this crap, well if they put that money into nursing staff, and just let the nurses be nurses, the complaints would go down all around.

Have to give it to Press Gainey and Studer, they created a fake "need" and are there to fill that need. Imagine, if my hospital didn't pay good money to send out PG surveys, then they wouldn't have to pay good money to people in the meetings reading the survey results, and they wouldn't have to pay good money on people to teach us how to get better scores on them. Not to mention, PG has made a survey that's impossible to maintain good scores on. It's an amazing scam they have going, (as does Joint Commission.) I'm very impressed, somebody learned a lot in business school! (Too bad they didn't spend some time in nursing school too.)

Amen. :yeahthat:

Truthfully---this foolishness only persists because we allow it. What are hospitals going to do when nurses grow some dignity and refuse to be treated like children? They can't fire ALL of us..........

But when are nurses going to do that? Everybody is behind the "troublemakers" until the troublemakers actually need backup. Then everyone just hushes up and tows the line because they don't want to get in trouble along with the nurse that's standing up for all of them.

Specializes in LTC, assisted living, med-surg, psych.

Alas, it will take a paradigm shift in the nursing culture to accomplish this, and we are collectively so beaten down by the system that we no longer know how to fight for our rights. I'm not sure how we can fix that........I think the only way is to convince our 'young' not to follow in our path and to stand up for themselves.

I wish I knew. All I can do by myself is refuse to go along with it (which I do) and trust my life experience to tell me how best to talk with patients/residents and families. That's really all any of us can do.

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