15 minute rounding sheet

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I'm a nursing student working as a mental health tech, and I'm trying to recreate our poorly designed 15 minute check flow sheet. I can't find any templates online; is there any way you all could share your rounding sheets or maybe just give me an idea of what I should include on the sheet aside from the time, a place to write a location code, behavior, and our initials?

Specializes in Psych.

We have separate sheets for 0005-0800 and 0805-0000, each hour is broken into 5 min blocks ( the most we ever chart is q5min) and there is no code on the sheet for where they are, there is a generalized sheet in the front with the codes. under each time frame is a place to initial and a signature place at the bottom. It could easily be made in word or excel

.. 12 1 2 etc......

00 [ / ] [ / ] [ / ]

15 [ / ] [ / ] [ / ]

30 [ /] [ / ] [ / ]

45 [ / ] [ / ] [ / ]

Ok this is about as good as I can get using a computer to describe ours, but imagine that being one long block going across the paper all the way to the right with 12, 1, 2, 3, etc. on the top of each box. The 1st box is 12:00 and you would go down as you check so the next box would be 12:15 etc. In the box you put a letter for where the patient is at the top slash then the bottom slash is your initials. R is room, K is kitchen, G is group etc. This is probably really confusing for you to understand but I don't have a real copy of it. The boxes are real boxes with a slash going across from bottom left to top right.

I'm a mental health worker and also use a 15 minute flow sheet with the same things ( time, location, initial, and behavior as well. We still use paper at my hospital, but I've been to other facilities that use electronic flow sheets.

Specializes in Psych ICU, addictions.

I've seen two different types in use.

One is a rounding sheet for each patient. It's letter-sized, printed on both sides, with entries for every 15 minutes to put down codes for location and activity(ies). At the end of the entry is a space for the rounder's initials. I usually see these used for patients on 1:1 or LOS patients, but one facility I work at uses it for every patient. This means that for a unit with 20 patients, the poor tech is filling out 20 sheets q15m.

Another is one rounding sheep for the whole unit. It's usually printed on legal-size paper, with entries every 15 minutes and records just the patient's location (and possibly activity, e.g.: A: patient in room awake, B: patient in room asleep). At the bottom of the 15 minute column is space for the rounder's initials.

Specializes in Mental Health.

I don't have a copy of the rounding sheet my facility uses but it basically consists of the time in one column and then a Behavior column where one puts a number corresponding to whatever behavior the patient is exhibiting (Sleeping, Awake/Alert, Cooperative, Hyperactive, Agitated, Out-Of-Control, etc.). Next to that is a Location Column where you initial where the patient is obviously (Day room, Patient room, cafeteria, etc.) and then an Initial column for the tech's initials. At the bottom of the sheet the charge nurse for every shift signs and under that is a space for each tech's signature and corresponding initials that way it can be identified whose initials they belong to. A separate 15 minute sheet is done on every patient where I work.

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