Hourly Rounding - Page 6

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  1. Asst. Admin
    Aug 26, '08 by
    On the hourly rounds we have to use the three P's
    Pain
    Potty
    Position
    Plus scripting but trust me it becomes very easy very quickly
  2. Aug 26, '08 by
    Just found this thread after starting one of my own. They've just started this where we are and have taken it one step further into the depths of "are you kidding me?"

    We are supposed to ask our patients about their satisfaction scale: I don't know if we get a cute little chart with smilie or frownie faces or not. If the best is 5 and the worst is 1, what can I do for you that will make your satisfaction a 5? Okay, can we even begin to count the number of ways this can and will go wrong? SOmeone mentioned being asked to play cards; well, I can imagine, with some of the visitors our OB patients get, that sexual harrassment might be a result. For crying out loud.

    I have signed the paper, but I don't script. I have for 32 years done all of that anyway, and won't become a robot, as much as they are trying to make that happen. I see my patients much more often than q 2 anyway and should since we don't have CNA's most of the time.

    Another brilliant idea to keep some people employed while making others' job more completely miserable. IMHO, of course.
    maelstrom143, Woodenpug, and imanedrn like this.
  3. Aug 26, '08 by
    Forgot to mention that on my rounding sheet, I will also be including all the times, other than the q 2 hour "rounds" that I see my patients.
    maelstrom143 and nursel56 like this.
  4. Aug 26, '08 by
    Quote from bsg rnc
    About the hourly rounding.....that concept was rolled out at our hospital a few months ago, we had to initial a paper in the pt room. Pt began complaining that we came in and just signed the paper. That was it, no inservice, no reasons etc, just sign the paper. It was dropped.
    Now, we have a committee to roll out the "Rounding with a purpose". We made videos of the right and wrong way for a pt encounter. The Studer video was a joke, we decided to best way get this thing going is first to over come resistance by making our own educational devices, not prescribing an hourly plan but timely and involving every department that comes in contact with the pt -- housekeeping,dietary,admissions et. Yes, Studer Group strikes again! I have written, emailed, and tried to phone all involved to find out the pt/nurse ratio and skill mix(Nurse aides,unit clerks, Pt care specialists) to see just how they did the study. No answers. Posed the same question to my CNO, CO and Studer Rep, the answer is "I don't know". I also questioned the need for the hourly rounding, do we have an assessment? Have we identified a problem? Hellllooo, nursing process! No.
    We have an advertising campaign about to roll out and we have to be ready to say,"....I have time." I will keep pressing on about the need for good customer service and the Administration to read that darn book and make THEIR rounds as prescribed!


    Finally, someone is putting nursing based evidence to work! With all those questions you asked, if NBE had been used, you should have EASILY received a response! No response = no (or minimal, at best!) research OR evidence to me!
  5. Aug 26, '08 by
    Quote from ranaazha


    Finally, someone is putting nursing based evidence to work! With all those questions you asked, if NBE had been used, you should have EASILY received a response! No response = no (or minimal, at best!) research OR evidence to me!
    We were given a very long and very wordy report on how this is supposed to be the cat's meow and solve all our problems. So there's at least one study out there. I don't have it here at home, but I did skim through it. I DID NOT "have the time" to read each and every word!!!!!!! (I'm convinced they get paid by the word.)

    In their controlled environments, I can see how it might work, and I believe they mentioned 1-2% improvement in how many call lights went off. They thought that to be significant, I call it nothing.
  6. Aug 27, '08 by
    Quote from VivaLasViejas
    Good grief...........I am SO glad I left acute carel!!! I'd get fired in a New York minute if I were working in a facility that treated professionals like Wal-Mart greeters. I can just see myself telling administration, "Right---I went through four years of college and $20K in debt so I could learn how to act like a #@*! parrot!!!"

    I can't believe this trend toward "scripts"........as if nurses are too stupid even to know how to talk to people. And that silly phrase "I have the time"---what happens when you DON'T have the time, do they just take you out to the town square and execute you?

    I'm not usually one to agitate for a revolt, but I really think it's time for nurses to rise up and REFUSE to put up with this. There are a lot of jobs out there that don't require one to surrender all dignity or be treated like a first-grader. We should vote with our feet and refuse to work anywhere that nurses are regarded as glorified waitresses. I mean, can you imagine anyone making a physician or a physical therapist do hourly rounds and act like a Stepford wife?? Sheesh!
    BRAVO!!! I totally concur with your take on this.
  7. Aug 28, '08 by
    Just a thought...Scripting would most likely improve pg scores. Instead of explaining side effects to the patient in a meaningful way, we could instead say " I want to be sure you understand the side effects of your medications." Then rattle off a list the way the drug companies do in their commercials.
    We all know that more frequent rounding does in fact decrease the number of times a patient uses the call light. Some patients need the extra reassurance that we are in fact paying attention. Most do not. In the past, I would round in an unobtrusive way. (Except for the patients who need the extra reassurance.) Now I often make a point of telling the patients that I'm "doing my rounds, making sure the IV is O.K. and that you are not in any discomfort." Sometimes this is more helpful than I expect. The patient sometimes can be involved in a conversation about how I know everything is O.K. and I can explain the rapid assessment that I do on entering a room and even validate that assessment with a more formal assessment. It's an interesting way to get patients involved in their own health care. But to be honest, pg does not reflect patient satisfaction and mostly leads to good scores verses good patient care. The same can be said for scripting and timed rounding.
  8. Aug 29, '08 by
    It is funny because I read this thread yesterday. Anyways, I was at work this afternoon and my manager approached me. YEP we're doing the every hour rounds now!

    I said, "You must be reading Studer's book, eh?" She was amazed and said, "why yes! Have you read it too?"

    It was pretty funny, because I look all smart now. Thanks allnurses.com!
  9. Aug 29, '08 by
    I just bought a Studer book on amazon.com, used. If I'm going to be "managed," I think I'd like to know the plan. I suggest all of us who are being made to script and round do this. We might find out something interesting :chuckle
  10. Sep 7, '08 by
    Ick, that would annoy me as a patient, too, because I'd want more than an hour's sleep at SOME point during the day!
    canigraduate likes this.