hourly rounding

noyesno, MSN, APRN, NP · May 17, 2012

At my hospital, PCT's round on the odd hours and nurses round on the even hours.

Okami_CCRN, BSN, RN · May 17, 2012

At my facility there are hourly rounding sheets posted on the boards of each room, they are to be completed and filled out Q1 hour. You have to write whether the patient is in pain (0-10), which way did you turn, and whether toileting was offered. They must be completed every 24 hours and taken to the nurse manager who will review and write up anyone who did not fill them out correctly or to entirety. -_-

That Guy, BSN, RN, EMT-B · May 17, 2012

We are supposed to do the paper charting, but with how it is in the ED, it never gets done. We do ours on the computer more. It is a nice little "Visited pt" button we press. Management is having a hard time making us do the paper ones too.

morte, LPN, LVN · May 17, 2012

again, what stupid crap. you wake me up, you would be getting an earful, and if you did it again, all bets are off.

classicdame, MSN, EdD · May 17, 2012

yes, most hospitals certified by JC will be doing hourly rounding. It is becoming a standard in the US to prevent falls and other safety issues and to promote pt. satisfaction. In our facility most nurses trade with the CNA so that one person is not there each time.

MamuhmiaRN · May 17, 2012

We are required to do hourly rounding at the hospital I work at. If a patient is sleeping, we do not wake them up, we will just chart something like: "Pt in bed, eyes closed. Respirations even, unlabored...." We have to check "yes" that we rounded every hour in the computer, but we only have to write something in every other hour. Its not so bad, and it's supposed to cut down on call lights. But, never fails, there is always that pt that a few minutes after leaving their room, then they decide they need something and press the call light :)

anotherone, BSN, RN · May 18, 2012

Are you required to do hourly rounding on your patients? I work on a postpartum/womens health unit where we have postpartum patients, any surgery or condition that can be considered "womens health relatated" and any type of antepartum condition that does not require continuous fetal monitoring. This is not a critical care setting and we have been told by "patient relations" that we are to do hourly round on patients with documentation as opposed to our usual 2 hour rounding. Is this the new norm? We are told it is to increase patient satisfaction. Do you do hourly rounding where you work? It seems to annoy some patients when we constantly are peeking in on them.

Yes we are expected to do this, nurses and aides but it usually just the nurses doing it, if it is not charted it is not done, and if it isn't charted I assume no one has looked in on the pt, and often that is the case! sometimes it doesn't get done. try having 5-6med surg pts: it is 8pm and you have maybe seen half of them when your 6th patient comes up from PACU with a ton of stat orders,needs the admission done, although the pt has been in peri op, pacu, or the whole day we still have to do it! . and here comes the aide to tell you a pt's blood sugar is 61, an npo pt , without a order for dextrose and you need to page for it, as we don't do standing orders etc, oh and now another pt is incontinent and it takes 2 to clean him/her up and needless to say who wants to lay around in poop? there have been enough shifts like this, where I am terrified that something will happen with another pt and they weren't checked on every hr. keep in mind we get pts who need to be checked on actually ever 30mins and should be in a step down or icu but everyone thinks they are fine on a med surg floor. total night mare. sure some pts are walkie talkies, rarely, who might get annoyed at being checked in on but that is our policy and there are signs everywhere. let them get annoyed.

nursefrances, BSN, RN · May 19, 2012

Yes we are expected to do this, nurses and aides but it usually just the nurses doing it, if it is not charted it is not done, and if it isn't charted I assume no one has looked in on the pt, and often that is the case! sometimes it doesn't get done. try having 5-6med surg pts: it is 8pm and you have maybe seen half of them when your 6th patient comes up from PACU with a ton of stat orders,needs the admission done, although the pt has been in peri op, pacu, or the whole day we still have to do it! . and here comes the aide to tell you a pt's blood sugar is 61, an npo pt , without a order for dextrose and you need to page for it, as we don't do standing orders etc, oh and now another pt is incontinent and it takes 2 to clean him/her up and needless to say who wants to lay around in poop? there have been enough shifts like this, where I am terrified that something will happen with another pt and they weren't checked on every hr. keep in mind we get pts who need to be checked on actually ever 30mins and should be in a step down or icu but everyone thinks they are fine on a med surg floor. total night mare. sure some pts are walkie talkies, rarely, who might get annoyed at being checked in on but that is our policy and there are signs everywhere. let them get annoyed.

I work Telemetry and we have 4 patients but I am with you, there always seems to be at least 3 things going on at one time...constantly. Yesterday it was hurry and discharge the lady going to SNF, another patient's BP is 200/100, meds are not touching it and doctor is not calling back, another guy wants to go AMA, now SNF transfer lady is throwing up....ok she is better and transfer done...now cath lab is picking up my other patient, when he is ready to come back from cath lab they decide to give me another patient coming back from cath lab. This freaked me out a bit getting 2 at once because they are time consuming when first coming back. AND it's 1700 and I'm supposed to be wrapping up my day but THAT'S not happening. I left on time (barely...management is on a no OT/over budget kick right now) so I ran around like a fool for 2 hours....I think I slacked a bit on the hourly rounding. Oh...one more word on that...we don'really chart our hourly rounding, we have wipe boards in patient rooms we update hourly. My friend got a call from our manager saying she was in the patient's room and could the nurse come in and update the time on the board (the nurse was really busy). The manager was already in the room..could she have written the new time on the board? :rolleyes:

Just sayin'.