Hourly rounding signoff sheet

Nurses General Nursing

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Way back in the day, back when dinosaurs roamed and the earth's crust was still cooling, I was a GN. And back when I was a GN a couple of things were understood. Number one, we were professionals and not customer service reps. And number two, some days every little thing was not going to get done, especially if we were having a busy day or we were short staffed.

I really miss those days.

Now, customer service is paramount over patient care, and management never gets tired of thinking of little, stupid things for us to do. I'm convinced that is because hospitals are so top-heavy in management and they have to think of things to do to keep their jobs, otherwise they'd get bored playing computer solitaire all day. But that's another rant.

Anyway, the latest thing is those @#$%#@ hourly roundoff sheets. Please don't misunderstand me. I check on my patients at least hourly. But forcing me to stop at the door, put my glasses on, root around for my pen, write on a vertically hung piece of paper, shake the pen a couple of times, finish signing the paper, put my pen back, take my glasses off, multiplied x5 patients x12 hours, adds nothing to my patients care and greatly to my general fatigue and aggravation level.

To make it more insulting, these papers do not go into the patient chart. They are thrown away. So I am instructed by a bunch of dingalings to fatigue and aggravate myself for something that will just be thrown away. I don't think so.

GPS chip me. I don't care. Hang a badge reader at each door so I can prove I rounded. That's okay too. But I will only stop what I'm doing to write something down on a piece of paper that will only be thrown away if every manager will agree to stop what he or she is doing every hour to do something equally meaningless. Stand on their heads, sing the Old Macdonald song, whatever. But they have to do it every hour they work.

Anyone agree with me? Or is the consensus is, shut up and sign 'em, there's more important things to worry about?

Specializes in cardiothoracic surgery.

We are supposed to do hourly rounding too. I ignore it and check on my patients as I feel is necessary. For example, a 23 year old with no tubes, no IV's, up ad lib and who is perfectly capable of using the call light to ask for pain meds, does not need me in the room every hour asking him if he needs to go potty. Now if I have a confused elderly patient with tubes, of course I will check on them more often.

I really do hate being treated as a customer service rep.

I feel your pain!! They are so absurd... not to mention the script about "excellent care" that was supposed to go with them (which we've all basically ignored at my hospital). Frankly, I think it's insulting to us and the patients too. Does administration really think that patient satisfaction would go up if we all sounded like a bunch of scripted phonies?? Please!

hey those rounding charts have crossed the Atlantic i have them on a ward in England.

ours are linked to fall prevention anyone with a moderate to high risk of falls has one. with our new falls assessment anyone is at risk of falls on my care of the elderly ward.

we nurse in multi rooms so we are always there unless we are stretched too thin

not filling them in is a write up.

i wish i could offer the care but often i cant too many pt family no charge nurse so anything can fall on staff nurse to sort. customer service meaning we need to drop anything to answer the phone. we have followed a trend started in the states.

Specializes in Med/Surg, Telemetry.

Ughhh! I completely agree! Our floor actually started this as a Unit Counsel Project, and now it is hospital wide. Yep, I round on my patient hourly, most of the time, more then that. I hate the fact that I have to stop and sign a piece of paper....c'mon! DOn't tell........Sometimes I initial it at the end of my shift, if the CNA hasn't done it. It's completely meaningless!! At least I can have a conversation with my patient while I do it. I believe our hospital throws them away too, so honestly.....what is the point? WASTE OF PAPER! GO GREEN PEOPLE! lol!! :D:D:D:D:D:D:D

Specializes in CVICU, CCU, Heart Transplant.

30 seconds to write 5-p's x 12 hour shift = 360 sec

360 sec / 60 = 6 minutes/patient/day

6 min x 4 patients = 24 min per day writing ..... something that's tossed away at the end of the day.

that is the same as a lunch break. it's so absurd. :uhoh3:

i wasnt aware this was a joint commission thing...

apparently they just arrived at my work also. i am glad to have had the last couple nights off :D

we have these hourly rounding sheets also that get collected at the end of the shift.

sometimes, if i have time, i will sign them hourly. most times i just sign them all at the end of the shift, even though i check on my patients often. sometimes the pts will wake up with you just trying to sign the stupid sheet on the door.

i think they are pointless and are no consideration to the actual amount of care someone is getting.

you can sign a sheet without even going into the room.

they are dumb, and insulting to anyone who actually gives a somethingoranother.

there is too much paper to be filling out. its ridiculous.

we dont have computer charting where i work, so often we are double and triple charting and i dont see the point.

In the facility i work at supervisors use that hourly rounding as a "got ya!" tool to investigate s/p falls. you have to not only do an incident report but also fill out additional sheets which is like a "debriefing checklist" of all the things that you could have done to prevent the pt's fall. The rounding sheet is then used as part of that investigation. personally i think if we just wore a tracking device on our uniforms (i.e. GPS) it would let management know which pt rooms actually take up most of out staff's time!!!:madface:

Specializes in MICU - CCRN, IR, Vascular Surgery.

We have the hourly rounding sheets too, and on night shift it's definitely a huge pain. For some reason, the people on the floor I'm a tech on barely sleep at all. And when you're going in every hour in the middle of the night, all night long, these people who already can't hardly sleep just wake up every single time. Then they get all grumpy because they're just nodded off after the last time that we came in to round on them.

We have to do the sheets in the room for clinical, and do a separate hourly rounding sheet that we have to turn in as part of our care plans. What is the point in that???

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