Hourly Rounding - Page 3

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  1. Mar 6, '08 by
    Ya know, I used to receive recognition cards from patients somewhat frequently. Never once has one said that it was because I told them I have the time and/or rounded on them every hour! (well that'd be b/c I've never scripted...and never will).

    One of the best ones I got mentioned how I took the time to educate her about her dx, meds, tx, etc. and that she really felt cared about. Guess that's not good enough.

    The only time I think something like this should be enforced might be something like where the lazy nurses have to ask the hard-working nurses if they need any help with anything b/c they have the time
    zoebaily, MedSurgeMess, and janhetherington like this.
  2. Mar 6, '08 by
    Quote from RNgonewild
    Holy crap, that was the exact same script they were teaching us to say at our hospital!! And that is in So. Cal. And now the big trend for managers is that they are being taught at there meetings "the Toyota Way" or the "Disney Model". And they have a new thing, it's called a "Power Minute", that's where the manager comes around and tells you something new, you sign that you learned it, or agree with it. I refused to sign one that I didnt agree with and they got all pouty on me till I signed. I'm about to go ballistic!! And the COO announced at a meeting with doctors that they want to get rid of the "old nurses"(not sure it was exactly worded that way) and bring in "new nurses" that can "grow with the company". I'm about to go postal!!
    So they talk to you for one "powerful" minute, and you have to sign that you agree? ACK! I can't believe you weren't allowed NOT to sign! Could you have signed and said you didn't agree?

    And... OMG... I'm a new grad. I may be older than most new grads, but I'm still not an experienced nurse! I could not even begin to imagine functioning on a floor without "old" nurses!
  3. Mar 6, '08 by
    Quote from NurseCherlove
    I actually recently considered applying for an HCA hospital. Forget it now!!!
    I work for an HCA hospital. Other than being new and being utterly terrified of being on my own, I'm quite happy with the facility. I hope this hourly rounding doesn't come our way because we barely have enough time as it is!
  4. Mar 6, '08 by
    Quote from NurseCherlove
    Ya know, I used to receive recognition cards from patients somewhat frequently. Never once has one said that it was because I told them I have the time and/or rounded on them every hour! (well that'd be b/c I've never scripted...and never will).

    One of the best ones I got mentioned how I took the time to educate her about her dx, meds, tx, etc. and that she really felt cared about. Guess that's not good enough.

    The only time I think something like this should be enforced might be something like where the lazy nurses have to ask the hard-working nurses if they need any help with anything b/c they have the time
    It sounds like this hourly rounding might be their attempt at doing this. Maybe it's the passive-aggressive way of getting the lazy few to come up to par with the rest. And, while the rest may not have to round hourly to show they care for their patients, management is the same no matter where you are: They still make stupid decisions to blanket a whole group when only a handful need counseling (or firing...)
    janhetherington likes this.
  5. Mar 6, '08 by
    Hourly rounding was sold to our hospital because of some study that said it decreased the rate of falls. Considering Medicare will not be paying for injuries as a result of a fall, everyone can probably expect to see it. It's nothing new as far as your work goes. But it's one more piece of paper!!!!!!
  6. Mar 6, '08 by
    Could be worse, they could have you monitored like they do in parts of my hospital. Your badge has a GPS or something chip in it and they can see when and where you are at all times. Then they can monitor how long or how often you are in a patients room. It's sort of like the chips they put in dogs in case they get lost!!
  7. Mar 6, '08 by
    Quote from RNgonewild
    Could be worse, they could have you monitored like they do in parts of my hospital. Your badge has a GPS or something chip in it and they can see when and where you are at all times. Then they can monitor how long or how often you are in a patients room. It's sort of like the chips they put in dogs in case they get lost!!
    We have that too. I actually like it. Every once in awhile we get family members who will c/o that they haven't seen a nurse in hours and that little badge proves them wrong!!!!! But it doesn't stop your co-workers from seeing that you are in the bathroom and not calling you on your Spectralink(Hospital issued Cellphone)
  8. Mar 6, '08 by
    We have the same exact script at our hospital. SOMEONE is making money on this one...LOL.

    Anyway I'm in home hospice and one of my patients prefers me over some of the other nurse because I don't say that "script". He is so sick of it after being in the hospital and hearing it thousand times a day.

    I have my own script. I always ask if they have any other questions or concerns, if there is anything else i can do for them and encourage them to call us at any time. But those are MY words not the same ones everyone is saying verbatum.

    Deb
    JZ_RN likes this.
  9. Mar 7, '08 by
    Quote from debblynn13
    SOMEONE is making money on this one...LOL.

    Deb
    My thoughts exactly! And the admins are stupid enough to buy (literally) into it! This was "pioneered" by a consulting group called the Studer Group.

    The funny thing is that hourly rounding and scripting are supposed to be so fundamental in a strong customer service focus, but if everyone is doing this latest management craze, then I don't see how it will help these institutions stand out and be competitive.

    Maybe some forward-thinking CEO will see this & decide to go back to the good ol' just being genuine
  10. Mar 7, '08 by
    Quote from Miami NightNurse
    Hourly rounding was sold to our hospital because of some study that said it decreased the rate of falls. Considering Medicare will not be paying for injuries as a result of a fall, everyone can probably expect to see it. It's nothing new as far as your work goes. But it's one more piece of paper!!!!!!
    Just because of falls?! Can't I just get up and look into each room without implying I have all the time in the world to offer all 6 patients? I could just every single hour that I did it, and - God forbid - one of my pts does have a fall injury, and I forgot to round on that hour, then I wouldn't false document the round and follow up with the fall instead.

    Is this just another micromanagement thing?? :deadhorse
    JZ_RN likes this.