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??
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.
And that would be me.
But like I tell patients, no one comes to the hospital for a vacation.
We have those hourly sheets, as well. I think we finally got used to them, and when forget, sign them at the end of the shift. There were few family members who asked me about those sheets. One of the family member noticed that the rounding sheet wasn't signed for the last few hours( that was when I just came to my night shift, and sheet was not signed off by the day nurse) and told me, that it lookes to her that her mother hasn't been repositioned for hours based on the sheet! I realized that those stupid papers can be a liability as well, and can cause more problems at the end. I think based on my experience in the hospital so far nothing can surprise me anymore, I just do my best at work. Also, you can't really complain about anything, hospital management doesn't like complainers. To me the choice is clear: you either leave or put up with that. Fortunately, I can say that most of our nurses are nice and our manager is not that bad.
Specializes in Med/Surg since ‘96; PACU since ‘16.
i wonder how long it'll be before someone realizes they can stack those little sheets next to the regular charting and just initial down the line before the end of the shift, then return to rooms...papers to initial don't mean anything. either you've been there or you haven't.
right, i agree. that is just crazy. yeah, like the restroom checks at target or mcdonald's. a bit demeaning for nursing. our charting is electronic and so much of it is checking things off. and the "suits" sitting at their desks keep finding things to add on. unfortunately, though, as they tried to pound in our heads in nursing school-- if it's not charted, it's not been done.
but just checking/initialing really doesn't mean it's been done because you know there are nurses/techs out there who'll sign off/initial even though it wasn't really done. so same with these papers in the room or out in the hall. but the administration have to keep coming up with these "quality control" items to show they are "always trying to improve"... which means ever more charting and checking off.
forgetting actually taking care of the patient... just be sure you do all your charting.
Specializes in CVICU, Burns, Trauma, BMT, Infection control.
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.
What??!! They're "lo jacking" us now??!! God almighty!
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.
Oh my, you've forgotten the third "P" is Potty!! Aren't you glad that you attended an institution of higher education so that upon graduation you might be required to know such things?
Specializes in cardiac, ortho, med surg, oncology.
My hospital initiated the program about a month ago and they are referred to as rounding sheets. You initial the sheet every time you are in the room. Heck one could just slip in and sign the sheet or as above posters have stated, fill in your initials at the end of the shift.
The rationale given for the new "program" was that if a nurse or cna was in the room every hour offering toileting etc then falls and such would decrease. I think it is BS.
The format is from the Studer group, a consulting firm that specializes in improving patient satisfaction scores and thus Press-Gainey results. Get used to it, it's the newest
thing to catch administrations eye. Who knows how long it will be in vogue.
Before I graduated the staff at a Neuro unit I worked as a CNA instituted this. We were required to sign of every hour and offer to do anything they needed and tell them we would be back in an hour to check on them. They did it for one month and there were 72% less call lights during day and evening shift. The unit also went from 4th in terms of pt satifaction(unit rankings hospital wide) to 1st in that month. It realy dose work if the staff are behind this. Although for units like PICU or ICU or Pscy units this would be stupid and thankfully the hospital realized this when they made it hospital wide.
Specializes in Nursing Home ,Dementia Care,Neurology..
We've had this for ages.Every patient in bed with side-rails is checked half/hourly 24/7 because of the dangers inherent with side rails.We have to sign a check list plus a daily risk assessment on these patients.Our call system is also attached to a computer so that every time we enter a room we have to press reset to show up on the computer that we have been in that room.This ,incidentally stops the carers from just signing the sheets without bothering to check the rooms.
Specializes in PICC, MED/SURG,TELE, REHAB,PSYCH,OCCUPAT.
My hospital has been doing this for about 6 months. It is obsurd! It's not even a permanent part of our pt's charts, it goes to our nurse manager. So I see it as a waste of time and paper. One more thing to add to the list of our daily duties.
I have been told recently that we were to go to hourly rounds. Did not know what that was but looks like I have now found out.
I am not looking forward to it. We already have an option in our computer charting where we can put what the pt is doing at different times of the day. Including resting, sleeping, sitting in chair, ambulating hall, eating,
going to the bathroom. Now that I think about, we are charting every aspect of their movement already. What a waste to have the hourly rounds.
bethin
1,927 Posts
And that would be me.
But like I tell patients, no one comes to the hospital for a vacation.