We do rounding .( Hospital 80 beds)
1. Rounding is done every 2 hours on day shift (12 hrs) and every 1 hour on noc(12).
2. Day shift nurse rounds at 8am, 10am on own patients then one nurse rounds on all patients at 2p. CNA rounds 12p, 4p, 6p on all patients
3. Noc shift round on own as well as assign some hours to the aide.
4. Pt. to staff ratios on days is up to 7:1 same on Noc on a 26 bed med-surg unit. All Units are expected to round (OB and CICU)
5. A rounding documentation sheet was devoloped to incorporate the IV sheet and Turning log.
There has been no resistance to this new policy from nursing or the aides.
By incorporating rounding/IVdocumentation/turning documentation on one form you should get better compliance to IV checks and Pt. turning as well as having neccessary documentation if someone is not failing to do the work esp in the case of skin breakdown.
Rounding has been proven to reduce the number of call lights going on, patient saftey. patient satisfaction. Two articles to read re this issue are "Ring for the Nurse"
www.medscape.com, and "Effects of Nursing Rounds"
www.nursingcenter.com
We also emphasized with our staff to follow the The 4 P's : Pain, Position, Potty, and Possessions (call light within reach, phone water etc)
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