Is there anything else I can do for you? I have the time. (new hourly rounding sheet) - page 2

We had an inservice yesterday. Now, they've instituted a new fall prevention policy that they basically expect every inpatient to be on. You have to reassess every 12 hours, plus reassess with every... Read More

  1. by   UM Review RN
    Quote from alkaleidi
    LOL. HOURLY rounding? We have a little 2-3 second thing that goes overhead in the ENTIRE hospital that sounds like a little musical "chime" sequence... every 30 MINUTES... reminding us to check on our patients. Yee-haw!

    This appropriately represents how we are now expected to treat our patients: . If I wanted to be this heavily involved in customer service and satisfaction, I'd be working somewhere like Lone Star or Outback Steakhouse and at least getting good tips. Press Ganey makes me .

    Yet another way that the hospital can scapegoat the nurse if hospital policy to round q30 minutes is not adhered to.

    I have to say that I'm not surprised at the hospital administration's legal tactics for getting out of responsibility for inadequate staffing by giving the nurses so much to do, they cannot possibly comply with all the policies of the hospital.

    This has nothing to do with PG and everything to do with legal liability.
  2. by   FireStarterRN
    Quote from Angie O'Plasty, RN
    Yet another way that the hospital can scapegoat the nurse if hospital policy to round q30 minutes is not adhered to.

    I have to say that I'm not surprised at the hospital administration's legal tactics for getting out of responsibility for inadequate staffing by giving the nurses so much to do, they cannot possibly comply with all the policies of the hospital.

    This has nothing to do with PG and everything to do with legal liability.
    I was also wondering if it's a way of going after specific staff. I've been told that management tactics these days include making sure to have a paper trail so as to be able to sidestep laws in place to protect employees from being unfairly fired. Our hospital is union, but if they set up a system where by they create unrealistic charting goals, then they can more easily create grounds for dismissal for the employees they dislike.
  3. by   pink2blue1
    Our manager started this policy for us in June I believe. Needless to say we were supposed to round every hour and then write the time on the white board in the room. We were to address pain, elimination and something else which escapes my mind at the moment. Well I am on a busy med-surg floor, 30 patients. Half the time we have 1 CNA on the floor to help us and at the most we get 2! This floor needs at least 3. Hourly rounds aren't getting done anymore. The nurses were fed up. Patients were supposed to call LESS and they actually started calling MORE. Don't know how. We put our name and number of our portable phone that we carry in our pockets up on the white board. I do find that some patients just don't want to be bothered every hour. Others will talk your ear off every time you enter the room. They also institued a Q4 vitals on our floor. Usually the fresh post ops get Q4, but some weren't getting done (CNA's take vitals) so now we have to do them every 4 hours on ALL patients! Day and night shift.

    To top it off, we just moved to the new wing of our hospital. Brand new, beautiful rooms and all private now. But the distance between them is HUGE. We now have to chart int he room, the meds are in locked cabinets in the rooms, so we are in there alot.

    Guess I'm feeling overwhelmed these days
  4. by   not now
    The rule on my floor was CNA's round on the even hours and nurses round on the odd hours. Starting today nurses round every hour. At the start of the shift we write our name and number, the CNA's name and number, the date, a mutual goal and room number on the dry erase board.

    We are also supposed to sit down in our each room to talk to our patients. The thought being that we stand and talk to them so why not sit? The NM, assistant NM and team lead will round with all the patients daily to make sure we are rounding hourly and sitting down.
  5. by   FireStarterRN
    Quote from not now
    The rule on my floor was CNA's round on the even hours and nurses round on the odd hours. Starting today nurses round every hour. At the start of the shift we write our name and number, the CNA's name and number, the date, a mutual goal and room number on the dry erase board.

    We are also supposed to sit down in our each room to talk to our patients. The thought being that we stand and talk to them so why not sit? The NM, assistant NM and team lead will round with all the patients daily to make sure we are rounding hourly and sitting down.
    Good Lord! So who is going to round to make sure the NM is rounding?

    This is bizarre.
  6. by   ebear
    The MBA's are at it again! What a croc!!!
    ebear
  7. by   SuesquatchRN
    Quote from ebear
    The MBA's are at it again! What a croc!!!
    ebear
    HAH!
    ,,,,,,
  8. by   gonzo1
    We have an hourly rounding sheet outside on the door. We are so busy that typically we initial it once a night for the whole night. It's not that we are lazy or anything. We just don't have time, way too many patients per each nurse. It's the only way to cope.
    So once again the powers that be have devised a totally useless devise that serves no purpose except to use up even more of our precious time.
  9. by   Ms Kylee
    It's on trial on my floor... and it sucks. And the "is there anything else I can get for you? I have time" is pure BS. I DON'T have time.... And this reducing the call bells? Not happening.. they're ringing more. I love spending time with my patients, but I don't have half an hour every hour to be your maid, I can't bring you your pain meds Q 2 hours because I am not a nurse yet. All I can do is remind your nurse that they're due since you're on your bell constantly "reminding" us.... I don't have time to remake your bed for the second time because you don't like your blankets or sheets. It's a hospital, not a hotel. Get over it. Everyone hates these reports....
  10. by   EmmaG
    Sitting down and talking as opposed to standing over someone actually increases their perception that you have spent more time with them and were focused on what they were saying. I try to make a point of doing this with all my patients at least once during the shift (getting off my feet for a few minutes is just an added bonus).
  11. by   FireStarterRN
    I agree Goldstein. They like it when you sit for a few minutes. It makes them feel more secure and less needy.
  12. by   EmmaG
    Quote from jlsRN
    I agree Goldstein. They like it when you sit for a few minutes. It makes them feel more secure and less needy.
    Goldstein

    I have no idea how to find it now, but I remember reading some research to that effect.... when sitting vs standing to talk to someone, their perception is that you spent something like twice the time you actually did... or something like that lol.


    Been a loooong day.
  13. by   ASSEDO
    sounds like hospitals are trying to make the 5 star hotel list. "i have the time" was started at my hospital over a year ago. guess what, the pg satisfaction surveys are lower than ever.

    i vote for taking all tv's and telephones out of the room. patients don't have time to do things for themselves or heal because they are watching their "program." god help you if you work during college football season in the south. you can't get a patient to respond to you, they are so focused the "big game". noise, indirect, slows the healing process. what about the direct noise (telephones and tv)?

    i truly believe we have treated patients like "guest" instead of "patients" far too long, and they actually believe their in a resort, at my hospital, usually on tax-payer expense. "i have the time, my foot, how about pick a number and wait until your number is called? hospital admins don't have a freaking clue.

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