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

Nurses General Nursing

Published

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 the next shift.

Our form has three column: night, day and eve. The night shift makes a copy of the master copy that was completed on admission for the patient. A new form is completed every 24 hours. The sheet is kept for 48 hours and the old sheets are shreded.

My manager claims this is JCAHO. The only thing I know that JCHAO requires is that nurses be able to have a verbal exchange regarding the patients at change of shift.

I don't believe our report is JCAHO. How can I find this out? :banghead:

Also, are hourly rounds JCAHO? :anbd:

Specializes in Critical Care.

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.

Specializes in Pediatric/Adolescent, Med-Surg.

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.

+ Add a Comment