Do you do walking rounds?

Okami_CCRN, BSN, RN · Aug 25, 2008

We used to do walking rounds in my facility but we stopped. The reason was that many CNA's were upset and noncompliant, I mean we had one lady who left at 2 50PM when her shift ended at 3 30PM.

When I would ask for a boost to lift the patient in bed they would complain how they worked 8 hours and they just want to go home. Eventually I stopped caring and told them to just forget report i'll ask the RN's what I need to know

CNA_Timmy · Aug 25, 2008

I posted in your other one too, but this will be more in depth. Where I work the aides and nurses do walking rounds together. For the overnights where there is only one aide and two or three nurses the new aide meets with each leaving aide and does a quick walking round of the entire floor. So I meet with aide one and walk rooms 1-9 the meet aide 2 and walk rooms 10-19 the meet aide 3 and walk rooms 19-29. Then we meet up with the RNs after they did their rounds and they give us a report in the nurses station. In the AM the the one aide walks all the rooms with the new aides and nurses as well as the leaving nurses. form day to evening the teams equal eachother and walk in their respected group.

FutureNurse23 · Aug 28, 2008

CNA_Timmy seems like you work in a nice place where communication is great. :up: We walk rounds at my job which I find can be a sour or great situation. If I have a CNA who has just had a bad night and got behind schedule I'm very understanding. What I hate is when you come in on your shift and a patient who is on a trach bed is flat instead of the head being up they are soaking wet and bed is a mess. Then when you look for the CNA who worked on the patient you can't find them. Since, clocking out and going home was more important to them.:argue: Also another thing what I hate is when a CNA comes in and wants to walk a round due to making sure they are left with nothing to do when they come in instead of the wellbeing of the patients care. Then if you are behind and you didnt get much done they want to talk behind your back to the nurse making it look like you didnt do nothing on your shift. Instead of the fact of accepting you got behind and your intention wasnt for them to come in with patients who needed to be changed asap. My nurses never give us a patients report to the CNA's. They only talk about the patient amongst themselves,ugh. If I know a CNA was behind I will work with them in their last 15 minutes they are on the shift. This way it helps me and also helps them! Then I know where I can start the day.

Okami_CCRN, BSN, RN · Aug 28, 2008

At my facility the RN's have to give the CNA's a report, I mean what if the patient is on strict orders to stay on CBR and we take them out of bed and sit them on a chair.

I like getting report from the RN's. I feel it is more comprehensive and they let you know about special things that need to be done for each patient

internettie · Sep 3, 2008

Where I work this practice is considered "old school" as we use to do that but have since updated, when it comes to actually walking down the hall, and giving a report on each patient. This is considered a breech of confidentiality and we must respect each patients privacy when talking out loud in the hall. So now a days a report is done in unoccupied room or conference room. Sometimes the night CNA may just write down pertinent info that happened during the night and give it to me before leaving.

locolorenzo22, BSN, RN · Sep 7, 2008

We have a policy of walking rounds being done for each shift....if it isn't, then you lose the right to complain about x,y,z not being done before the previous shift left....Often though, it's easier to do a 5AM versus 5PM...at 5P you just want report so you can get started and get some stuff done before a surgery comes up...

CNA_Timmy · Sep 13, 2008

Where I work this practice is considered "old school" as we use to do that but have since updated, when it comes to actually walking down the hall, and giving a report on each patient. This is considered a breech of confidentiality and we must respect each patients privacy when talking out loud in the hall. So now a days a report is done in unoccupied room or conference room. Sometimes the night CNA may just write down pertinent info that happened during the night and give it to me before leaving.

Where I work the nurses and CNAs actually go into the patients rooms (all private rooms where I work), and involve the paitent in report. The reason we are given for this is the patients can be more involved in their care. Usually the patients do not say anything... but whatever. We are required to do it... the nurse manager even checks out little hil-rom lojack badge reports to make sure we all went to each room to give report.