Hourly Rounding - Page 11

We had a real OB emergency walk in the door last week and right in the middle of it, a high heels and clip board type (no kidding, she was wearing high heels and had a clipboard) wandered in a wanted to know if this was a good time for her Rounding "rounds." I don't work much so this was new to me....any way, I told her it was a really bad time if she needed the charge nurse to accompany her, and after much ballyhoo, she said, oh, no, I don't need anybody to come with me. Well, then, just go! Anyway, I finally referred her to the nurse who was taking care of the patients she needed to do Rounding "rounds" on and went back to the emergency.

I agree that it is belittling to us as nurses.


Our plastic white board, in some of our rooms is hung on a wall where our daddy sleep couches are placed. So.....work with me.....it is the middle of the night, your patient delivered in the late afternoon, mom, baby and daddy are sleeping for the first time in maybe 24 hours, and I am supposed to walk over, CLIMB over the sleeping dad to put my initials on that board?

I don't think so.

I just tell my patients that I will be in there at least hourly and probably more often and that I won't be disturbing them to write on the board, but that they will be asked about it later. Most of them are on board with it and do not wish to be disturbed hourly because some Admin type thinks it is necessary.

I, personally, would lodge a complaint with the Admin if I didn't need to be disturbed that often. And if I do need to be disturbed that often, perhaps I should be in a unit where the patient census is way less than 8:1 (which is what it is on the Med/Surg floor in our hospital.

It's crap. Nontherapeutic, disingenuous, insulting BS that does nothing to improve pt care. I refuse to follow scripts in my communication with patients. It is against my ethics as a nurse and everything I was taught. I am an educated professional, and I will treat myself like one even if my management will not. I do "round" on my pts and check on them just about hourly, but I will not lie to people and tell them that I will be in every hour on the hour. What if my pt is crashing? Oh gee, I might not get to ask someone if they need to "go potty." It makes me want to throw up. Whoever came up with hourly rounding is an idiot and needs to remember what it actually means to be a nurse and not a customer service representative.

I'm glad to see I'm not the only one dealing with this. We have been told that we should not tell the patients to call us if they need us because we should "anticipate" their needs. I'm sorry- but I always let them know that if they need something to please put the call light on even though they will be rounded on frequently. I haven't seen a huge improvement since we've begun hourly rounding.

"...I have the time?" REALLY you have to say that out loud? Every hour? I wouldn't be very surprised if the patient said "geeee whatcha doin with all you time? Buggin me?" I think that statement in itself is creepy. "Well, if you have the time, can you get me my remote, change the channel......etc etc" I think hourly rounding is not a bad idea, especially if you have to document every hour, you should be rounding. However, I would think that patients would get the impression that a nurse is not "doing anything" if we keep implying that we have all this free time.

I was a patient not too long ago. The thought of someone coming around every hour and say do you need anything would ware my nerves down to nothing. They said at the beginning of the shift after the assessment," If you need any thing put on your light." I remember thinking,"Yeah, sure and wait for an hour" So when I had pain I put on my light, the intercom came on someone said, "Can I help you" scared me to death the quickness of it, when I told them that I need a pain pill. The Nurse was there in 30 sec. So if I was in a hospital that had someone come around every hour leave me alone. I need some rest. But of course this is just me.

Yup, anyone wake me up, they probably would find out how good my vocab is ! If not a R cross might do it.....

I haven't either, and we just recently started hourly rounding. There should be someone in the room at least every hour, but the CNA's are supposed to round on the odd hours and the RN's are supposed to round on the even hours. After 0000, we are supposed to round every 2 hours. If I don't have to do an assessment or give meds or anything, I don't wake the patient if they are sleeping. I glance at the propaq monitor and make sure they are breathing and then sign the form. Management also stated they do not want us waking up sleeping patients to increase their satisfaction. Personally, I would be a little irritated if there was someone coming into my room EVERY HOUR.

Apparently the hospital has done this before, but after awhile they do away with the rounding sheets. Every one of those sheets goes to the CNO, too...I highly doubt she goes through every single one of them :icon_roll

In psych, we have someone--usually a tech--rounding on every patient Q15-30 minutes. This doesn't mean they are asking the patient "are you OK, do you need anything" Q15-30 minutes...it just means they're checking that the patient is alive and safe Q15-30 minutes. Though most techs are great about communicating any pertinent information they feel may require a nurse to intervene...but not all do.

I try to vist all of my patients at least every 2-3 hours, just to see for myself if they are OK and if they need anything. But the majority of patients are pretty good about tracking staff down if they need something.

we do hourly rounding and there are signs all over about it. once was screamed at by a WALKIE TALKI/self care/makes all needs known/ not dependent on nursing for any adls pt's husband because it had been 1:30mins since someone was last in there.ii didn't think it needed that type of outburst. meanwhile i had been busy with other pts and sicker ones too not sitting at the desk texting. If they want these things done than the staff needs to be hired to do it.

absolutely not. yes i know your post is three years old. lol