Hourly rounding logs

  1. 0 Is anyone utilizing the practice of hourly rounding to assess the 4 Ps (position, pain, personal needs and potty) and if so do you have a log up in the room for staff to document it? This practice has been found by research to decrease falls, calllights and improve patient satisfaction. How is it working in your facility?
  2. Visit  afteralltheseyears profile page

    About afteralltheseyears

    Joined Sep '07; Posts: 45; Likes: 8.

    29 Comments so far...

  3. Visit  MelissaLPN profile page
    9
    I would think that would be effective only if the staff/pt ratio would allow for that. Otherwise you simply have another box that a nurse/cna must fill in, to "prove" good care. I am sure the study was based on ratio's that would allow for hourly rounding to occur. I know if this were put in place at my facility it would be another thing to sign but in reality it just puts more blame on the nurse. It doesn't force the facility to make this possible. It would turn into a legal high ground for your facility to insist you must perform a task for which it is impossible. This is the essence of long term care.
  4. Visit  jones.rn profile page
    0
    At my facility each nurse and tech must sign up for an hour that you will go to each patient on the floor, check on them, and see if they need anything. in theory we are even supposed to provide pain meds if the patients nurse is busy. However when you have seven to eight patients on day shift, this seems impossible to do some days. It's all about HCAHPS.
  5. Visit  canigraduate profile page
    7
    To be honest, they're just another piece of paper to sign at the end of shift.
    KittyBinimi, gonzo1, LTCangel, and 4 others like this.
  6. Visit  ParvulusPuella profile page
    6
    We do it. We have electronic charting, and the care tech is supposed to check off on even hours, and the RN the odd hours. I hate that we have to chart it, because it's one more thing to chart, and with vitals q 4 hours and meds and dressing changes and assessments, we are definitly in the rooms at least once every hour. I would love for someone to invent a sensor for the door, that would pick up on a chip on our ID badges, so that every time we walked through the door it would log who was going in and at what time. Then we could just print out the log for each patients' room each day and stick it in the chart.
    LindaB73, gonzo1, qestout, and 3 others like this.
  7. Visit  caliotter3 profile page
    5
    At my facilities these papers would be signed all at once at the beginning or end of the shift, or better yet, once a week after being prodded by someone to do so.
    Anne36, Forever Sunshine, Lovely_RN, and 2 others like this.
  8. Visit  Flo. profile page
    3
    My facility uses hourly rounding but I have never seen any one actually hourly round. Staffing just does not allow for it. Upper management keeps adding documentation and nursing responsibilities without changing the ratios. Actually they have changed them for the worse. Everyone at my job is just getting so burned out, I see a strike coming.
    gonzo1, Forever Sunshine, and MassED like this.
  9. Visit  wooh profile page
    3
    I believe in hourly rounding. I really do believe that in the end it saves time. But I'm firmly against rounding check sheets.
    We used to have sheets on the doors. When I demonstrated it slowed me down:
    Usually walk out of room. Grab some foam. Rub foam in as a I walk to next room.
    With door sheet, walk out of room. Grab some foam. Have to rub it in before I put hand in pocket to get pen. Sign sheet. Pen back in pocket. Walk to next room. Multiply added time by x patients and x hours. What would management like me to cut so that I have time to sign the sheet? Not to mention the time putting the sheets on the doors. The time that techs spend on it. Etc, etc.
    Anyway, we're told to do it, and really, we already were doing it. But we managed to get rid of sheets. A rare success against hospital management stupidity!!
  10. Visit  nurseaig profile page
    0
    We have rounding at my hospital and I hate it. With 10 patients I find it impossible to do.
  11. Visit  workingspaz profile page
    0
    lots of great points on all previous posters!( pro and con)

    saved my behind last night, though.
  12. Visit  CompleteUnknown profile page
    2
    Quote from wooh
    I believe in hourly rounding. I really do believe that in the end it saves time. But I'm firmly against rounding check sheets.
    We used to have sheets on the doors. When I demonstrated it slowed me down:
    Usually walk out of room. Grab some foam. Rub foam in as a I walk to next room.
    With door sheet, walk out of room. Grab some foam. Have to rub it in before I put hand in pocket to get pen. Sign sheet. Pen back in pocket. Walk to next room. Multiply added time by x patients and x hours. What would management like me to cut so that I have time to sign the sheet? Not to mention the time putting the sheets on the doors. The time that techs spend on it. Etc, etc.
    Anyway, we're told to do it, and really, we already were doing it. But we managed to get rid of sheets. A rare success against hospital management stupidity!!
    Good for you! A rare victory indeed.

    Totally agree that hourly rounding is a great idea and something that good nurses have always done.
    gonzo1 and MassED like this.
  13. Visit  ayla2004 profile page
    0
    Quote from nurseaig
    We have rounding at my hospital and I hate it. With 10 patients I find it impossible to do.
    ive 8-12 and often its a paper exercise.
  14. Visit  nurse42long profile page
    7
    Whoa, at the LTC where I work I have 50 (count 'em 50) residents at night with the supposed staffing of me, and three STNA's, though usually only two. Since I'm the only RN in the building I also cover IV's and such on the other 50 bed wing for the LPN over there. After a med pass to my residents which takes almost 2 hours, all the tube feeds, routine checks of the glucometers, medication returns, etc. not including charting, neuro checks on any falls, V/S's on any resident receiving antibiotics, incidents reports, preparing transport reports for our many dialysis patients, then my second med pass. Oh, I forgot treatments, drsg changes, wound vac checks, I'm lucky to get a potty break. If they add another form to check off, say, hourly check marks on 50 patients that's 400 meaningless check marks that will take even more time, I will then GIVE UP.


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