Hourly Rounding

Nurses Safety

Published

our hospital recently implemented hourly rounding. but before that we have to go through a one on one teaching session with our manager so we can go through a script on how we will address our patient every time we make rounds (a script...sounds like a play!)

"is there anything else i can do for you? i have time."- this should be the exact words we are required to use before we leave patients room.

(i could bring a recorder with me and play it everytime i check on my patient...hehe! ) of course, our patient are expected to be informed of this hourly rounding. and if we don't show up in their rooms or missed the due time for rounding..patient and family can write us up and complain.:cry:

take note , we are to document this rounding in a piece of paper. if not our attention will be called for not documenting it. so my guess would be unrealistic documentation. why? most of the time you can be stuck in one patient for 45 mins to an hour esp when you have a needy patient. and they rarely provide us with nurse aide or techs.

(can i just clone myself..! maybe clone a secretary so somebody can enter doctor's order while i do my hourly rounding).

well the reason for this because they want a high score on patient satisfaction..oh yes to be recognize!

how about nurses satisfaction? nah..they don't care!

anybody care to react?

I couldn't agree more.

Specializes in LTC.

We round q 30 minutes on the night shift. All I can say is thank God they are asleep.

Specializes in neuro-icu, surg, ology, med/surg.

What? your patients sleep at night? What planet are you from?

Specializes in neuro-icu, surg, ology, med/surg.
We too have hourly rounding and have to sign a pledge promising our commitment and to use the phrase, "Is there anything you need, I have the time".

I love the idea of laminating the script! I'd like to see them try to fire me for doing what they tell me to.

I am so glad i found this site. it is better than therapy, because my therapist isn't a nurse!

As for "I have the time," is lying to patients ethical?

I would have the time, if i wasn't continually having to make the choice between patient care, documentation, and leaving at the end of my shift. Sadly, I would be happy to stay over without pay and finish charting, in order that my patient care not suffer, if they would let me. But that's not allowed either. Well, they can fire me for being "inefficient" if they like, but they will never be able tofire me for not doing my job. Just wish I could stop being so stressed out about frequent meetings about my "end of shift overtime". Can't afford to lose my job...

Specializes in neuro-icu, surg, ology, med/surg.

I am angry too. Angry at the supervisors who get paid salary to do things like hang a sign in the breakroom that says, "Smile! Attitude is everything!" and my charge nurse who sits with the secretary crafting cutesy foam gingerbread men to decorate the unit for christmas while i am running my tuckus off trying to keep up. They should hang the "smile" signs in the pt rooms...

Specializes in neuro-icu, surg, ology, med/surg.

We have implemented "rounding",but to be honest, I try to group tasks and stay out of the room (unless the pt is confused, or really sick) because people want to talk, and will find things for you to get...Coffee? Juice? How many children do you have, honey? oh you must be so busy... also, though I try not to wake pts if they are asleep, opening the door and letting in the light, and closing the door with a loud "click" tends to wake most people up...Also, the act of collecting the sheets and making sure your signature is on every slot and placing the sheets in the notebook at the main desk just adds to my end of shift stuff.

Specializes in LTC.
What? your patients sleep at night? What planet are you from?

Excuse me?

Specializes in Cardiology, Psychiatry.
Excuse me?

In other words- I work nights- my patient's don't sleep- they go crazy.... sometimes hourly rounding can be worse at night... I wish they would all sleep!!!

Specializes in LTC Rehab Med/Surg.

Hourly rounding was devised by idiots who never put a pt on a bedpan.

Specializes in PICU now, Peds and med-surg in the past.

Our hourly rounding logs hanging on the patient doors say at the bottom, in bold italics, 'Always remember to ask: "Is there anything else I can do for you, I have time" ' Sure, I have time as my hospital issued cell phone is ringing off the hook, the pager connected to my patient's monitors is screaming, the NAs are coming to tell me that my chemo has arrived and I need to sign for it or so-and-so is screaming for pain meds.... Yep, I'll make sure to utter that exact quote before dealing with all that, you can be sure of it. :bowingpur

In critical care, you are in pts rooms every hour anyway. (Although if the pt is really bad it may be more than an hour before you get to see your other pt and hopefully someone else is helping you out.) But to be told what to say and to have to initial and check a piece of paper to show I was in the room is insulting. Look at my charting.

The initialed paper isn't a part of the pt record, its for our boss. If you don't fill it out you get counseled and more than 3 counselings... you are out. I didn't know that RN stood for Robot nurse

Specializes in Critical Care Nursing AKA ICU.

Just remember, healthcare is a ILLUSION of great service. I really bothers me that "administration" that make decisions on how i do nursing at the bedside are so far removed from the bedside they have no idea what goes on. again it's the illusion of great healthcare.

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