Hourly Rounding

ranaazha · Mar 07, 2008, 09:13 PM

Re: Hourly Rounding

Originally Posted by debblynn13

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

I say something similar to you, and I like it. I think it's more real and natural. If I were a patient, I think I'd be weirded out by EVERY single nurses coming in EVERY single hour to read me a "script." I'd be insulted!

I could imagine a patient getting irritated after hearing the same "caring" words after countless days in a facility...

Woodenpug · Mar 07, 2008, 09:21 PM

Re: Hourly Rounding

"Is there anything else I can do for you? I have time." is the exact phrase at my institution. Except for the hourly rounding, I would have thought we were co-workers. I'm not comfortable with the "I have time." line. Patients are not stupid, they know that I do not have time. But it does help to ask if there is anything else I can do. Lying even in the name of customer service is still lying and you do not impress people with lies.

Miami NightNurse · Mar 07, 2008, 10:11 PM

Re: Hourly Rounding

Originally Posted by ranaazha

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??

Well they are saying if we ask them all the silly stuff in the scripting then we will have taken care of their needs and patient wouldn't feel the need to get OOB and fall. And it's not that they care if patients fall, they care that they are gonna have to sink the cost. and they care abouth their press ganey scores.

maryloufu · Mar 08, 2008, 09:57 PM

Re: Hourly Rounding

<<<<<my thoughts="" exactly!="" and="" admins="" are="" stupid="" enough="" to="" buy="" (literally)="" into="" it!="" this="" was="" pioneered="" by="" a="" consulting="" group="" called="" the="" studer="" group.="">>>>

We had to watch a film from them I think- if I remember correctly. All I know is that I fell asleep because it was after I worked a night shift and I had a newborn at home. And I think I fell asleep during a bad time- he was talking about his son going into the hospital and how scared he was. I was not the model employee that day.

</my>

BrokenRNheart · Mar 15, 2008, 07:46 PM

Re: Hourly Rounding

Erianne,

I think I know where you work.

Here is another bandaid. Because the nurses have been unable to do regular rounding on their patients, they have come up with this. Instead of making the job so you can round on your patients, they are now forcing you to do it. Everyone here knows that one patient visit could cost you 1/2 hour easily. If you have 5 patients, you won't get to them all and you will spend your day rounding and that doesn't even speak of the interruptions.

Also, anyone here knows that one interruption could cost you 1/2 hour to an hour easily.

The "paper" on the clip board will have false documentation. It already does.

I saw that video. Great concept. I would love to be able to do that for my patients. The fact that they are giving us the script means it isn't getting done and they want it done. It goes right back to why isn't it done?

I love how the administrators keep finding work for us. I haven't had time to sit and file my nails since I became a nurse. What? I don't look busy enough?

BrokenRNheart · Mar 15, 2008, 07:48 PM

Re: Hourly Rounding

Originally Posted by Woodenpug

"Is there anything else I can do for you? I have time." is the exact phrase at my institution. Except for the hourly rounding, I would have thought we were co-workers. I'm not comfortable with the "I have time." line. Patients are not stupid, they know that I do not have time. But it does help to ask if there is anything else I can do. Lying even in the name of customer service is still lying and you do not impress people with lies.

That oughta be a legal issue. They are forcing us to lie to keep our jobs.

Hmmm?

SEENIT · Jun 29, 2008, 06:14 PM

Re: Hourly Rounding

we have instituted hourly rounding at my facility. I do believe it has cut down on the patients use of call bells. I find it difficult when I have 6 to eight patients to round on them hourly. I find the scripts degrading, (why don,t I just get a job at McDonalds) so I rarely use them. Sometime it's detrimental I had an obese patient on a restricted diet ask me for a snack every hour, when I reminded her she was on a calorie restriction she became angry. I think alot of theis stuff in thought up by administrators who haven't worked a floor in years

**madwife2002** · Jun 29, 2008, 06:21 PM

Re: Hourly Rounding

We have to keep laminated scripts in our pocket for the hourly rounds. I felt quite offended by them and still do i am not being taught how to speak to a pt after 20yrs of nursing because if I ain't got it down to a fine art by now I never will.

ranaazha · Jun 30, 2008, 01:04 PM

Re: Hourly Rounding

I think, if I'm ever given a script, I will enter the patient's room, pull out my laminated card, hold it right in front of my face, and read it verbatim in a very monotone voice. After reading it, I will say that I'm required to do this once every hour, and I will continue to do so in the same exact way (laminated card, script, monotone) unless they tell / ask me otherwise. I can only imagine they'd find it just as irritating as I and would tell me I don't have to -- and I would make sure to document that!

cutehumor · Aug 03, 2008, 04:48 AM

Re: Hourly Rounding

They were instituting this before I left. your supposed to ask if the patient is in pain, if they need help going to the bathroom, and something else that I can't remember. They were starting bedside reporting too. You know how many patients I get that complain that they can't get any sleep???
I think my dismissal may have been a blessing in disguise.

New To Site	Need Help	Quick Links
Create An Account General Site Map allnurses.com Journals Terms Of Service Privacy Policy Testimonials Meet Our Staff Advertising Information	Information Center & FAQ Boards of Nursing How-To Video Tutorials Did you forget your password? Compare Membership Contact allnurses.com Text Version Mark All Sections As Read	United States Nursing International Nursing Nursing Specialty Advanced Practice Nursing Critical Care Nursing Nursing Specialties Get In Touch... Find Us On Facebook Follow Us On Twitter

Hourly Rounding

Nursing News

Interesting article on ThedaCare's Collaborative Care Model

Possible breakthrough regarding MS

16th Philly area hospital to stop delivering babies: Mercy...

Really interesting article on Indian open hearts

High-Tech Pump Does What Her Heart Can't

Air Force RN Found Not Guilty

California Imposes Stricter Rules Regarding Drug Abuse In...

Are older nurses being forced out of the profession?

An outlook in California?

Australian surgeons successfully separate conjoined twins

Nursing Articles

Society Needs Care Too

Why am I doing this, anyway?

Nurse Heal Thyself

My Papa, why I am the nurse I am today.

I made it through

An angel's gaze

A Sister Never Forgets

Ruby's Marbles

What Do Operating Room Nurses Do?

My Little Old Jedi

I love this job......

"I hear voices"

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

Error and Attitude

It's Just a Shower

Available Topics (tags)