Hourly Rounding

Nurses Safety

Published

our hospital recently implemented hourly rounding. but before that we have to go through a one on one teaching session with our manager so we can go through a script on how we will address our patient every time we make rounds (a script...sounds like a play!)

"is there anything else i can do for you? i have time."- this should be the exact words we are required to use before we leave patients room.

(i could bring a recorder with me and play it everytime i check on my patient...hehe! ) of course, our patient are expected to be informed of this hourly rounding. and if we don't show up in their rooms or missed the due time for rounding..patient and family can write us up and complain.:cry:

take note , we are to document this rounding in a piece of paper. if not our attention will be called for not documenting it. so my guess would be unrealistic documentation. why? most of the time you can be stuck in one patient for 45 mins to an hour esp when you have a needy patient. and they rarely provide us with nurse aide or techs.

(can i just clone myself..! maybe clone a secretary so somebody can enter doctor's order while i do my hourly rounding).

well the reason for this because they want a high score on patient satisfaction..oh yes to be recognize!

how about nurses satisfaction? nah..they don't care!

anybody care to react?

Hourly rounding was sold to our hospital because of some study that said it decreased the rate of falls. Considering Medicare will not be paying for injuries as a result of a fall, everyone can probably expect to see it. It's nothing new as far as your work goes. But it's one more piece of paper!!!!!!

Could be worse, they could have you monitored like they do in parts of my hospital. Your badge has a GPS or something chip in it and they can see when and where you are at all times. Then they can monitor how long or how often you are in a patients room. It's sort of like the chips they put in dogs in case they get lost!!

Could be worse, they could have you monitored like they do in parts of my hospital. Your badge has a GPS or something chip in it and they can see when and where you are at all times. Then they can monitor how long or how often you are in a patients room. It's sort of like the chips they put in dogs in case they get lost!!

We have that too. I actually like it. Every once in awhile we get family members who will c/o that they haven't seen a nurse in hours and that little badge proves them wrong!!!!! But it doesn't stop your co-workers from seeing that you are in the bathroom and not calling you on your Spectralink(Hospital issued Cellphone)

We have the same exact script at our hospital. SOMEONE is making money on this one...LOL.

Anyway I'm in home hospice and one of my patients prefers me over some of the other nurse because I don't say that "script". He is so sick of it after being in the hospital and hearing it thousand times a day.

I have my own script. I always ask if they have any other questions or concerns, if there is anything else i can do for them and encourage them to call us at any time. But those are MY words not the same ones everyone is saying verbatum.:barf01:

Deb

Specializes in Med/Surg; Psych; Tele.
SOMEONE is making money on this one...LOL.

Deb

My thoughts exactly! And the admins are stupid enough to buy (literally) into it! This was "pioneered" by a consulting group called the Studer Group.

The funny thing is that hourly rounding and scripting are supposed to be so fundamental in a strong customer service focus, but if everyone is doing this latest management craze, then I don't see how it will help these institutions stand out and be competitive.

Maybe some forward-thinking CEO will see this & decide to go back to the good ol' just being genuine :idea:

Specializes in ED/trauma.
Hourly rounding was sold to our hospital because of some study that said it decreased the rate of falls. Considering Medicare will not be paying for injuries as a result of a fall, everyone can probably expect to see it. It's nothing new as far as your work goes. But it's one more piece of paper!!!!!!

Just because of falls?! Can't I just get up and look into each room without implying I have all the time in the world to offer all 6 patients? I could just every single hour that I did it, and - God forbid - one of my pts does have a fall injury, and I forgot to round on that hour, then I wouldn't false document the round and follow up with the fall instead.

Is this just another micromanagement thing?? :deadhorse

Specializes in ED/trauma.
We have the same exact script at our hospital. SOMEONE is making money on this one...LOL.

Anyway I'm in home hospice and one of my patients prefers me over some of the other nurse because I don't say that "script". He is so sick of it after being in the hospital and hearing it thousand times a day.

I have my own script. I always ask if they have any other questions or concerns, if there is anything else i can do for them and encourage them to call us at any time. But those are MY words not the same ones everyone is saying verbatum.:barf01:

Deb

I say something similar to you, and I like it. I think it's more real and natural. If I were a patient, I think I'd be weirded out by EVERY single nurses coming in EVERY single hour to read me a "script." I'd be insulted! :banghead:

I could imagine a patient getting irritated after hearing the same "caring" words after countless days in a facility... :trout:

Specializes in MPCU.

"Is there anything else I can do for you? I have time." is the exact phrase at my institution. Except for the hourly rounding, I would have thought we were co-workers. I'm not comfortable with the "I have time." line. Patients are not stupid, they know that I do not have time. But it does help to ask if there is anything else I can do. Lying even in the name of customer service is still lying and you do not impress people with lies.

Just because of falls?! Can't I just get up and look into each room without implying I have all the time in the world to offer all 6 patients? I could just every single hour that I did it, and - God forbid - one of my pts does have a fall injury, and I forgot to round on that hour, then I wouldn't false document the round and follow up with the fall instead.

Is this just another micromanagement thing?? :deadhorse

Well they are saying if we ask them all the silly stuff in the scripting then we will have taken care of their needs and patient wouldn't feel the need to get OOB and fall. And it's not that they care if patients fall, they care that they are gonna have to sink the cost. and they care abouth their press ganey scores.

Specializes in PCU, Home Health.

>>>

We had to watch a film from them I think- if I remember correctly. All I know is that I fell asleep because it was after I worked a night shift and I had a newborn at home. And I think I fell asleep during a bad time- he was talking about his son going into the hospital and how scared he was. I was not the model employee that day.:selfbonk:

Erianne,

I think I know where you work.

Here is another bandaid. Because the nurses have been unable to do regular rounding on their patients, they have come up with this. Instead of making the job so you can round on your patients, they are now forcing you to do it. Everyone here knows that one patient visit could cost you 1/2 hour easily. If you have 5 patients, you won't get to them all and you will spend your day rounding and that doesn't even speak of the interruptions.

Also, anyone here knows that one interruption could cost you 1/2 hour to an hour easily.

The "paper" on the clip board will have false documentation. It already does.

I saw that video. Great concept. I would love to be able to do that for my patients. The fact that they are giving us the script means it isn't getting done and they want it done. It goes right back to why isn't it done?

I love how the administrators keep finding work for us. I haven't had time to sit and file my nails since I became a nurse. What? I don't look busy enough?

"Is there anything else I can do for you? I have time." is the exact phrase at my institution. Except for the hourly rounding, I would have thought we were co-workers. I'm not comfortable with the "I have time." line. Patients are not stupid, they know that I do not have time. But it does help to ask if there is anything else I can do. Lying even in the name of customer service is still lying and you do not impress people with lies.

That oughta be a legal issue. They are forcing us to lie to keep our jobs.

Hmmm?

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