There are a lot of people addicted to their phones or shopping in my unit. More so on days than nights.
I think the biggest issue is cutting the staff down to a bare minimum and then throwing something like this on top of them. They've eliminated the 2nd shift unit clerk, 2 nights out of the week we do not have a patient care tech on nights, sometimes we do not have a paramedic or a person who can actually function as a paramedic, Saturday and Sunday we used to have a nurse extern and supposedly they are hiring more of them (one graduated last December, one finished in June, and one in December), and we have a full time phleb that is off due to injuries. This may change when we get our actual manager back and it may be why no one has been hired in the last six months to a year (they had an ANE position posted, but he ended up on medical leave before then).
Oh, we've lost at least four nurses due to health issues or quitting to go somewhere else they have not replaced. They are 2nd or 3rd shifts. Not to mention we have at least four leaving in October to go to a different new facility.
Quote from 2013SNGrad
Hourly rounding is evidence based. At my job, we share the responsibility with the CNA. We do it on the odds, they on the even. It works good.
Is it a department on the floor or in the ER?
At the moment, I can almost guarantee they will not want to do the "even hours/odd hours" split even though I did suggest it because it'll put too much on the nurses. So they will send a unit clerk who is supposed to be putting in the admissions, calling the other doctors, entering orders, answering phones, tearing down charts, go round to 16+ rooms to help the patient to the bathroom and so on. Even with a tech, the tech is not that familiar with the patients as they will help sometimes but usually they are stocking or taking patients up to the floor.
Another thing that is slightly frustrating is that hourly rounding is good for the floor. It is excellent for the floor. However, when it is the ER, not so much. A pct can take notes on which patient needs a commode, bedpan, can ambulate. With the ER, some patients can be discharged so quickly. When the patient wants an update, you still have to go tell the nurse to go give them an update as the patient may be waiting for test results, imaging, lab work, ekg, etc. You still have to track down the nurse and find out who is NPO. Granted, 90% of the patients are NPO till close to discharge.
The theory is good, but I don't know if it is practical to apply it to the ER. Also, I do not know if they will take my suggestion of RNs and ancillary staff switching odds/evens into account. I don't think so.
Honestly, it would probably help if we had a PCT that could be dedicated to hourly rounding from 11 am to 11 pm. By the time the pct came back around, it would be time to start again most nights.