So.... engineering was installing these clear plastic plaques in all of our rooms today! Apparently, they are going to be filled with a checklist/sheet that the RN must sign EVERY HOUR to show that they have been in that patient's room. Much like the restroom cleaning schedule at your local McDonalds. Apparently this is some great new hospital wide policy they higher ups have come up with.
OK...... I work in the PICU! I am pretty much always in my pts room and we are required to document on our patients every hour anyway!!
This just really gets under my skin! I feel like this is just a little much. Your thoughts??
I as a PICU RN am required to document in the computer charting a COMPLETE assessment EVERY HOUR including pain, safety, ect. Now, I have to fill in this form just to prove to the higher ups that I was actually in the room to do this! I mean I guess I can understand if this was a floor pt- like some have posted, pts complain that they haven't seen their nurse in hours, ect. This will help prove that indeed they have.
These sheets were in patients' rooms at one of the hospitals in which I did a clinical. We had to perform the 3 Ps: Pain, position, and I can't remember. The hospital in which I am doing my preceptorship and will be working when I am done has location sensors on the staff to track when and where they are while on shift. The system tracks each time you enter a patient's room. I think that is easier than to have another piece of paper to fill out.
My unit is doing this and yes, it has something to do with the Studer group. Quite honestly if I remember to sign them, I do. If I don't? Oh well. I also refuse to use scripting. I don't do things because "I have time." I just do them because it's apart of my job to make sure the patient has everything they need before I leave the room.
I love this idea. Now when I go in to the room every hour I can report to Mr. Smith, the sick person, that NO, in fact his medication has still not been sent up from pharmacy, his name is still not in the computer system, and his meal from dietary was eaten by the housekeeping staff.
Unfortunately, these documents are not part of the permanent record and are considered hospital property. But you can bet your a$$ if something bad happens they will magically appear in the hospital lawyers office.
I was wondering about that, too. We had a bad incident happen at my facility, {I don't want to post details, it's still too new, someone might see}, but it resulted in a death.
Now they're making the home staff do q30 minute checks.
So far the paper work is being monitored to make sure that it is being done, but somewhere, sometime, they will get lax and something will slip through, and something bad will happen....again.
I'm all for checking on patients but coming from the other side, if someone walked into my room every hour when I was in the hospital, I'm afraid I might shoot them. I'm awake as soon as someone's hand touches the door.
It's hard enough to get rest when call lights are going off, your roommate is snoring, telephones are ringing, lab comes in at 4am, etc.
These sheets were in patients' rooms at one of the hospitals in which I did a clinical. We had to perform the 3 Ps: Pain, position, and I can't remember. The hospital in which I am doing my preceptorship and will be working when I am done has location sensors on the staff to track when and where they are while on shift. The system tracks each time you enter a patient's room. I think that is easier than to have another piece of paper to fill out.
One hospital where I worked had those location trackers - and still made us sign hourly rounding sheets. Management got upset when I forgot to sign the rounding sheet because I was busy in the room dealing with a patient fall which was documented in the computer charting. Management never could get it through their heads that I obviously was in the pt room, as the location tracker didn't prove I was in there (for unknown reasons it didn't pick up) and I didn't sign that stupid piece of paper!
Patients may not remember the nurse or aide in the room, because of their condition, their dementia, their delusions or they are sleeping. After one of my surgeries, I remember my husband saying he was going home...I started crying, NO! You just got here, don't leave me...well, he had been with me for 3 hours and in my medicated stupor I thought he had just gotten there.
We have this at our hospital, and it is on the pt. door so we don't necessarily have to wake the pt. But it is disruptive to the pt. who can't sleep well or is anxious.
We have the hourly rounding sheets at the hospital where I work, not for every patient just for those at risk for fall, aspiration, etc. I always forget to sign them, but I work primarily in a large room with 6 patients and the "nurses station" is in the middle of the 6 beds... There are two nurses assigned to this room so, I am ALWAYS in my pts room! If they ever say I wasn't rounding every hour, I would tell them I am CONSTANTLY rounding as I am ALWAYS watching my pts, I hear every noise and see virtually every move they make!
Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
it sounds pretty danged insulting to me. i work in an icu, and i'm at the bedside for my 12 hour shift with the exception of brief forays to the supply room, the med room and the employee bathroom. sometimes i get to eat lunch, too, but not always. if i'm charting q 1 h glucose checks, vital signs and i & o that ought to be enough for the suits. if it isn't, they can come explain to me why it's not!
We had it, we eventually wore them down and they took them away. Scripts too. Now they are trying something new and want to take away all our brain sheets and replace them with standard sheets "everyone" will use. We will see how long that lasts....
We had it, we eventually wore them down and they took them away. Scripts too. Now they are trying something new and want to take away all our brain sheets and replace them with standard sheets "everyone" will use. We will see how long that lasts....
Brain sheets? You can't have your own? AAAAHHHHHHHHHHHHHHH!
Riseupandnurse
658 Posts
This sounds like the Studer Group at work again. Google it; quite interesting and then check out his bibliography on Wikipedia. Yikes!!