Nurse Rounding

CHATSDALE · Oct 11, 2006

this has been one of the minimum observations in every facility i have worked at...moe often if condition of pt requires it

meownsmile, BSN, RN · Oct 11, 2006

We are trying to do 2 hour rounds with the NA's when they do turns. Otherwise during the daytime hours its pretty difficult to get around ever 2 hours. You do the best you can do.

veronica butterfly, ADN, RN · Dec 19, 2006

Our hospital is looking for ways to inprove customer service. We are considering doing q 2 hour rounds on our med-surg unit. Do any of you have experience with this? How do you like it? Suggestions.... Thanks;)

2 hour check is absolute, and so minimal. Can you imagine being a patient and no one looking in on you for two hours? Think what can happen in two hours? I always make a plan with my patients. If they are stable and don't need much from me, I tell them when I will be in and how they can get ahold of me if they need me. We carry phones in our pockets and write our phone numbers on pt's whiteboards.

If we can't get in to see if our patients are still in bed and alive every two hours, then something is wrong....and needs to be changed. sorry to be blunt.

RNsRWe, ASN, RN · Dec 19, 2006

I can't imagine not having laid eyes on every patient within a two hour time frame, all shift, and I work nights and often up to ten patients. Less often than that, and who knows WHAT I'd find.

SouthernLPN2RN, MSN, RN, APRN, NP · Dec 19, 2006

We currently work with the cna's to round hourly. We even have a form in the bedside chart that we mark each hour. Our pt satisfaction scores now put us in with the top 3% of hospitals in the country.

classicdame, MSN, EdD · Dec 19, 2006

We consider q 2 hr the absolute MINIMUM. Also a NA is not a substitutefor a nurse.

nurseangel47 · Dec 19, 2006

Yes, I thought that was the bare minimum required by any hospital's policies, anyway....am confused why your facility has thought it up on it's own when it should've been in place all along!

pattchez · Dec 19, 2006

At the hospital where I work we do hourly rounding. It is shared with the nurse and CNA from 6am to 10pm ...and then from 10pm to 6am it is Q2H rounds, again shared between the nurse & CNA. We started this hourly rounding last April and it has reduced the number of call lights because patients know that someone will be back in "about an hour." It is a shared responsibility ...and it a nurse is busy then she/he could ask someone else to check on the patients.

RNSuzq1, RN · Dec 20, 2006

Both the hospital I recently left and my new hospital require q2h checks on patients and documentation. The new hospital however, does something I really like. After change of shift report - when we're coming on, we accompany the Nurse going off into each of our patients rooms. She tells the pt. she's leaving and introduces the new Nurse coming on, gives us a chance to not only check on our pt's condition, but also look at the condition of the room, IV tubing dates, etc.

I'm not sure if many hospitals do this, but think it's a great policy - that way, you don't get any surprises once the other shift has left. There's nothing like getting report - told everythings great, then finding out your pt's IV tubing should have been changed 2 days before, fluids ran out, pt's in pain or laying in a wet bed, bedside commode hasn't been emptied, etc. This way, by going in the room together, if you find something hasn't been done - the other Nurse takes care of it before she leaves, instead of leaving you with problems (saves a lot of time).

RNinSoCal · Dec 20, 2006

We do 1 hour rounding on days and pms and 2 hour rounding at night. We also have a "script" of things to say that lets the pt know names, routines and expectations. I was surprised at how much it helped reduce call lights. We also carry pagers to page us to room instead of the secretary answering calls at the desk. This really cut down on the wait time between pt call and staff entering room.

lorster · Dec 27, 2006

I am shocked and appalled to read this. 2 hour rounds? Are you saying the minimum to check on a patient on a med surg unit is every 2 hours? How about every 30 minutes? That is our unit standard. How many patients do you have? We have 4 to 5 on days. I would feel like my licence was hanging out the window if I didn't check in on a patient less frequently than every 30 minutes.