hourly rounding - page 3

Anyone doing this and if so how is it working out and how did you get the nurses on board/... Read More

  1. by   doubleplay
    I guess I don't understand that it cuts out on call lights. What is the difference in going to the room when the call light goes off and going to the room when you round, both are a visit to the room. You should count all the visits rounding just like you would count all of the call light visits. 5 patients, 12 hr shift, equals 60 visits plus call light visits. That does not sound like a time saver to me.
  2. by   NJNursing
    We also are supposed to do hourly rounding. We've done a variety of things from havng sheets we had to initial every hour and we had to assess the 3P's: position, pain, potty. I'm sorry, but i'm not waking someone up every hour who is less than 70 years old who is 3-4 days post-op and AOx3. Then we get dinged for them not getting a restful night. Now the confused patients, the fall risk patients, the fresh post-ops, absolutely. We don't have those sheets anymore and us and our aids have an agreement that we each go in q 2 hours, so that someone is in there hourly. Me, them, me, them, etc. It hasn't helped much. Maybe catching a climber in the side rails, but that's about it. I had rounded on a guy at 1am and at 145 he was on the floor. And then there's nurses intuition. You just get a gut feeling when someone is just not going to do well and it behooves to listen to it.
  3. by   blognRN
    our hospital has been working on AIDET and hourly rounding for a while now, and really, not seeing the success. it's frustrating to see yet another sheet of paper on the wall to sign now, and it's not unusual to have no CNA for the day and have 5 pt's. when you've got one confused pt, one w/c-diff well...hourly rounds are immediately challenging. i've also noticed that some patients just don't care to be bothered hourly! they find VS q4 to be annoying. feel like i'm pushing buttons and not letting a generally normal person get over a bad time in their life without interrupting b/c i don't trust that they are smart enough to inform me that they need to potty or that their pain is increasing. i'm smart enough to see when a pt appreciates my stopping in frequently or when they prefer the solitude and quiet. personally, i'd be hating the nurse coming in every hour while i'm ill. ugh.

    we are lectured constantly about our lack of rounding, our need to please our pt's, and our "scores" on surveys. so btwn the sheer exhaustion of what our job takes and then hearing i'm still not doing it well enough, i'm pretty much done with it in general. i plan to finish my time and not look back. for me, hourly rounding was the beginning of my end not b/c i disagree. i'm in there every hour for the most part. it's the lack of trust and my superiors blaming me personally for what they have decided to not fund in their hospitals - more employees, and happy employees. that piece of paper is an attempt to stretch the dollar and it's only decreasing quality of care at our hospital.
  4. by   NightOwl0624
    Quote from blognRN
    our hospital has been working on AIDET and hourly rounding for a while now, and really, not seeing the success. it's frustrating to see yet another sheet of paper on the wall to sign now, and it's not unusual to have no CNA for the day and have 5 pt's. when you've got one confused pt, one w/c-diff well...hourly rounds are immediately challenging. i've also noticed that some patients just don't care to be bothered hourly! they find VS q4 to be annoying. feel like i'm pushing buttons and not letting a generally normal person get over a bad time in their life without interrupting b/c i don't trust that they are smart enough to inform me that they need to potty or that their pain is increasing. i'm smart enough to see when a pt appreciates my stopping in frequently or when they prefer the solitude and quiet. personally, i'd be hating the nurse coming in every hour while i'm ill. ugh.

    we are lectured constantly about our lack of rounding, our need to please our pt's, and our "scores" on surveys. so btwn the sheer exhaustion of what our job takes and then hearing i'm still not doing it well enough, i'm pretty much done with it in general. i plan to finish my time and not look back. for me, hourly rounding was the beginning of my end not b/c i disagree. i'm in there every hour for the most part. it's the lack of trust and my superiors blaming me personally for what they have decided to not fund in their hospitals - more employees, and happy employees. that piece of paper is an attempt to stretch the dollar and it's only decreasing quality of care at our hospital.
    I so agree.

    On normal nights, (proper staffing, available equipment, stable patients, etc) I have absolutely no problem with it. I kind of like doing it, actually.

    But we have been so short staffed lately, with high acuity patients, that hourly rounding is nearly impossible - you're just reacting to situations and trying to get the essential patient care in. Today we got a nasty, condescending email from our manager, talking about our noncompliance with the policy and how "research articles prove..." blah, blah... "and she'd be happy to show us the research" blah blah...

    I don't doubt the research, but wonder if she has seen any research regarding nurse-patient ratios??? I'd be more than happy to show her that!
  5. by   Nurseismade RN
    Quote from suni
    Anyone doing this and if so how is it working out and how did you get the nurses on board/
    we do this at my hospital.....but share this with the nurse techs...so for the nurse it's q 2 hours .....for 3-11....i take the even starting at 4,6,8,10 and techs take the odd starting at 5,7,9,11....works out....

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