JCAHO requirement? hourly rounds and written report at change of shift? - page 2

by blackberry

6,952 Views | 13 Comments

I've seen the discussions on hourly rounds. My manager claims they are a JCAHO requirement as well as a written report instead of taped for change of shift. For the next shift, the nurses fill out a written report sheet for... Read More


  1. 0
    We use hourly rounding and bedside report for reasons other than JCAHO, press ganey and Magnet have changed our practices more than JCAHO.
    I have to write a short written report for the charge nurse's and rate acuity, the cna's, and give a face to face report to oncoming nurse (a little redundant). I had to stay and wait 30 minutes not too long ago to give report to a nurse who was late. It was already 7:45 (should have clocked out at 7:30) and had to wait another 30 minutes. The NM wasn't in that day but I was told that there was a sentinel event recently so the charge wouldn't take report from me and give to the oncoming nurse. We we going to a house-wide SBAR type form to be used at bedside report for all units in 2011.
  2. 0
    Interesting, isn't it - how it seems that leaders are sidestepping responsiblity by blaming everything on JCAH or CMS., Magnet or some other regulatory agency???

    The truth is, that the vast majority of regulations are written about OUTCOMES - not process. For example, they require something like "effective process to ensure continuity of care". Then managers come up with all kinds of forms, processes and procedures that (in their opinions) will ensure that the outcome is achieved. Then, they say that the 4 new forms are a 'JCAH requirement'.....

    FYI, the whole 'hourly rounds' as well as 'scripting' (Is there anything else I can do for you? I have the time) were first promulgated by the Studer group... as a way to improve patient satisfaction.

    There appears to be a real deficit of effective management behind all this mess. I think a better approach would be to actual involve bedside nurses. Tell everyone what the regulation is - and ask everyone for their ideas about how to meet it. Nurses are very creative and intelligent - it is a shame that they dont' have more influence.
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    Without a verbal component, a written report fails to meet the Joint Commission's pt safety standard on communication just as much as a recorded report does. The standard requires an "interactive" report with the ability to "ask and answer questions". Do you write your report and then leave or is there a verbal portion following the written part; if so writing your report would seem sort of inefficient.

    Hourly rounding, or "intentional rounding", (what is unintentional rounding?), is not a Joint Commission requirement or an accreditation criteria. It is a recommendation of best-practice sources such as IHI as well as peudo-practice organizations such as the ANA.
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    One of the facilities I work at does written report. I hate it. IMO I would much prefer a verbal face-to-face report. I feel that my doing written report is a waste of time, when most nurses want you to tell them what you wrote anyway.

    My other facility does face-to-face,and is slowly making the transition to bedside report. This seems to work much better.


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