Rounds - hourly or q 2 hours?

  1. Has anyone implemented hourly or q 2hour patient rounds? Does it work? If you've done it, I'd love to hear about it.
    •  
  2. 13 Comments

  3. by   catnip
    Its not mandated where i work, but its always a good idead to check on your patients every 1-2 hours, if i had a dime for every pt i have caught either half way out of bed or having a problem that they couldnt alert us to i think i would rival bill gates. This is especially true for confused pts because i know for a fact they can figure out how to get the clip-on bed alarms off. I hope this was helpful for you.
  4. by   clemmm78
    Everywhere I've worked, it's been a mandated 2-hour round, but I always (or as often as is possible) do a quick round the other hour, peeking in the doors to make sure people are still breathing, aren't on the floor, etc.
  5. by   meownsmile
    My facility is trying to get q2rounds or qhourly if possible but when on a med surg floor you have 10 patients, discharges, admits, and new surgicals coming back,, and still have all your assessments and IV meds to administer, it really becomes completely impossible. Some patients you are in the room at least every hour or two,, but others are really not covered in that time frame. We all know how these standards can be accomplished, but that wont happen anytime soon.
  6. by   MALE*RN*777
    I definitly believe someone should be checking on your patients at least every 2hrs. but you can also be peeking in as you walk down the hall andy ou can have your CNA checking on them once your primary care is completed. It also depends on what type of patients you have. If you have a good staff under you (don't take advantage of this) that you trust then your job will be a lot easier. Please and thank you goes a long way.
  7. by   ICRN2008
    In peds we are required to check on our patients at least once every hour and document their activity, behaviors, IV site, and pain scores (if they are having pain).
  8. by   purplemania
    Every 2 hr rounds have long been practice in our facility, but not mandated, in peds (for years). Recently q 2 hr rounds have been mandated for the whole hospital. Of course, more frequent rounding is expected if nurses's judgement dictates.
  9. by   all4schwa
    we have 5:1 and we do hourly rounding and charting with complete assessements q4. rarely will our pts need to use their call light, they also have our (nurses and pct's) portable phone #'s. also, it helps that most are on tele, we get a lot of confused/disoriented pt's and i know if they are alarming out with 'leads off', usually not a good sign.

    *last night three pts escaped from swedish belts and over the rails, one was walking down the hall in a brief and bright red "fall risk" booties. the other had his iv line stretched to the very end...with blood infusing!!*
  10. by   jo272wv
    My unit just went hourly rounds 7a to 10p than q2 10p to 7a. At first I thought damn where am I going to find the time, but after researching, the evidence based practice, I am convinced it is a good idea. We divide it up that the nurse will round q2 hours on the odd hours, the NAs round on the even hours and the nurse manager and the clinical supervisor round one time each. Pt satisfaction is expected to increase and so far the amount of pts calling out has decreased.
  11. by   Tweety
    Are you talking about a formal program?

    We're trying to get q1h rounds started beginning February 1st. The techs round on the odd hours and the licensed staff on the even hours. Supposedly it increases "customer" satisfaction and decreases call bell use. During these rounds we take care of three "p's": pain, potty, and positioning. And the old "can I do anything? I have the time!" script.

    I'm willing to give it an honest try.
  12. by   nursemary9
    Hi

    For the past year and a half, we have been doing hourly rounds -- 24 hr/ day. We even have a form to initial!!! I know, kind of childish, but it has been working. Falls have been cut & Pt. satisfaction is also up.

    This was a unit initiative to bring up our satisfaction scores and also to cut falls; it is only done on our unit.

    Mary Ann
  13. by   EarthChild1130
    When I worked in psych, our general round was q1h...now I work medical/oncology, and the unit mandates a q1h check...it works out okay...I do it anyhow, so it wasn't a big deal to have it 'mandated'...some of the other nurses are fussing though, and wishing for q2h, but some of my patients could get themselves into some mischief by then!
  14. by   colleennurse
    We do not have a mandated q1 or q2 hourly rounds, but I am constantly trying to peek my head in my pts doors just to check in. And then obviously if I have a pt that I feel needs more attention, then I try to at least peek in more frequently.

close