hourly rounding

Hourly rounding is being piloted on my unit (Med/Surg/Ortho/Peds/Tele) ......Pure and simple I just don't have time to mark the paper every time I am in the room. Yes, I am so busy that I do not have time. I have between 6-10 patients and it doesn't get done. LPN's/CNA are able to do this as well and don't. I am in my patients rooms as much as possible and as much as needed and that is it.

I think we should eliminate as much paperwork as possible so we have time to see our patients once an hour. Sad that we have to write it down to "prove it".

It's not working well on my unit.

I get tired of the excuse "just don't have time" do you say that about meds, assessments, dressing changes, noting orders, calling doctors ? What does one eliminate because they "just don't have time" If you are an RN your role is to delegate tasks to CNA/LPN so you can do task that require an RN. Why don't the LPN/CNA do rounding ? You say they can but just don"t Why? As far as "paperwork" that is the "prove" . You will be glad you have that "paperwork" if you have to defend yourself in a court of law or even to your supervisor. Remember if it isn't documented then it is considered not done"
Hope your Rounding gets better. Sounds like your facility has some work to do by defining who should be rounding and when. We started Rounding aprox 1 month ago. It has went well. Our Rounding sheet incorporates the IV documentation as well as the turning documentation. Our aides, lpn, and Rn's are expected to round every 2 hours day shift every 1 hour noc shift. They are expected to address the 3 P's position, potty, possessions (call light, h2o etc). Our aides do not check IV's so the nurse still goes back in to do IV check. It all gets done. The nurses have a pt. ratio up to 7:1 with many times 2-3 discharges and as many back in. In some of my earlier post on this thread I mentioned some articles re to rounding . They may be helpful.