Hourly Rounding

I think, w/ our charting, placing our telemonitoring strips in the charts, charting, giving medications and dealing w/ pt.s that require high levels of nursing care, that this q hr rounding is going to be difficult to do, if not near impossible.
I can understand the hospital not wanting to go to a nurse/patient ratio based on levels of acuity classification because that would mean spending more money, but I think this would provide better care for the pt.s! Plus, the labor union has wanted to get in to our hospital and has placed a nurse/patient ratio, among other things, on the table as a selling point in why we would want a union. You would think that the hospital would consider implementing this level of acuity classification if they wanted to keep out the union, rather than this q hr rounding!

Sorry if I missed it, but what do you do when the pt is asleep? I work nights, and try to "bundle" care so that the pt's get a least at couple of uninterrupted hours of sleep whenever possible. (Whicn is a good thing according to EBP). So, is it better for the pt to get through all of the stages of sleep, or be wakened every hour to see if they need anything? Can you let a sleeping pt lay? (or is it lie?)

Ah. AIDET.

Did you tell them you have 1,000 years of experience? Don't forget that.

I think that you are correct...Back in the day, there were no pt satisfaction scores...we helped pts as needed, gave meds, did teaching, etc. I think that since the shift has been made, and pts are now guests, they are given neg reinforcement by hsp managers. ?How is your stay? is best left to hotels...

What happens during an emergency situation? Any slack cut if one of your assignment happens to code??

It is just totally unrealistic. And no, there is no "slack" for emergencies, as management feels that staffing is GREAT and so if we can't get to a room we could just delegate this to the nonexistent smiling, break-taking laid-back other staff on the floor. Who in the heck is THAT???? See the problem? It's like third degree heart block. No communication between the S Administration node and the over-working ventricles.

We implemented the hourly rouding in our facility and it's a joke. The nurses who don't do it keep their "Sorry I Missed You" card by their computer, write the times in and drop the card off in the room before they end shift. Personally, I chart every hour on my patients because I DO round. My main objective is patient care and fulfilling the law of my licensure and I feel I achieve both. It's charted .... it's done!
This is so reminscent of the old days when hospitals switched to "team nursing" under the premise that 3 people to a team, RN, LPN and CNA could be assigned more patients and the patient would feel they were getting better care because they saw more faces.

i think it is lie.......lay is the passive....miranda will know, lol

I am absolutly ticked about all of this. we are supposed to be doing this as well. we have these little clocks that are wipe off things in each pt room on the boards we are supposed to inital each time we are in there. you know what, AINT GONNA HAPPEN. as for the script, SAME DANG THING!!! no way in heck. this angers me to no end. every time we try to tak to managers about it, they tell us they are keeping track of times and calls from rooms since this things has started to prove that calls have lessened, i call bs. they didnt keep track before, so what are they going to do? show me numbers now? great for them! dont care. they are not the ones on the floor, we are! besides the fact, if i am charting or if i am on the floor with pt walking or something- i am not going to MAKE SURE that i am signing my name on the little clock. like i have time. grr. this is just such a sore spot. even when i do have an aid, they dont even help, they dont sign anything! even when i have talked to them to explain that tey are supposed to be helping as well, they dont, whatever. i am not going ot keep explaining ya know? its bs, bs bs bs.
not even gonna sign my name i am so annoyed!

WOW. It is amazing the extremes and the passionate responses this topic has elicited. I too am subject to hourly roundings till 2200 then q2hrs (I am a night shift owl). It certainly is depressing to know that you are entrusted with the lives of patient's but not empowered by trust that you can do your job. The signing of the logs to PROVE you rounded? please. As most of you have said we are professionals. Give me the job, the job descriptions, the requirements, then empower me to get it done. Have faith in me and I will raise your Press Ganey Scores but keep in mind that people at times think they are at the Ritz. ie I had a patient with family at the bedside who called for me to adjust a blanket, hummm, Jane Doe down the hall was in pain so I prioritize. That didn't make the family and the blanket patient happy that I did not meet their immediate needs right now. What now do we right UOR's for every nit picky petty event. Oh well role with the punches, I still love bedside care.