any one out there doing hourly checklists ?

[time4meRN]

The "magnet hospital" I work in has started a new process, Because we are not busy enough. We are now doing hourly check lists on top of our legal documentation. They say it is required by the president of the hospital. So now in our ER, we have 4 to 6 pt's, usually short staffed, transport our own pt's, clean our rooms, yada ;yady yada, you know the story. Well anyway, we now have to do hourly checklists on all pts. The lists are on a clip board beside the pt's bed, they include the following : is the room clean, did you offer a warm blanket, :bowingpurdid you ask the pt is you can do anything else for them, :uhoh21:did you ask the pt their pain level, for a total of 7 things that are also as stupid. I'm not saying doing these things are stupid, I'm saying double documentation is nuts ! So now when the pt's and visitors get upset because they have to wait for 4 hours for their runny nose that they need percocet for, they can read the lists and have even more ammution to use against us. So, I think the hospital could do more for the nursing staff. I have about had it. Where does the CEO get off doing such things. No wounder things are such a mess with the obvious disconnection of upper management and the " real world". I wounder how often he get called a ****** *****or other choice words. I wounder if he has gone 12 hours for a week without a lunch or heck even to pee. I wounder when the last time his shoes were urinated into by a drunk or spat at by a pt. or called every name in the book or punched scratched all while lifting a 400 LB pt. I want to come up with a list for him. Have any ideas.:yeah: For one I would like him to call a unit every hour to make sure the nurses got to lunch, after all that is a law not a choice. I'm sure we can come up with 6 other things for him to do every hour. He must have the time if all he has to do is come up with more work for an already overloaded staff.

[BookwormRN]

Our hospital is going to be implementing q1 hour rounding on the medical/surgical unit. Focus will be on the "3 P's": Potty, Pain and Positioning.

CNAs will round on the odd hours, and RNs will round on the even hours. We will have a flowsheet that we'll have to initial off every hour.

I like the idea, but don't like adding another piece of paper to my already full day! Plus, although these are important issues....I just know it is going to bog all of us nurses down...Know where I'm coming from???

[lpnflorida]

We have to do the same thing. In fact it has been going on for over a year now. Does seem redundant as already we are documenting up the kazoo.

While the original intent is to be proactive in reducing call lights and seeing to the needs patients might have. It is not always realistic and simply becomes one more thing on the priority list.

[pandora72, BSN, RN]

oh that would be wonderful to have all members of management be required to call every nurse on shift and say "is there anything i can do for you...i have the time." yes there is...could you please finish this checklist for me, answer those 7 call lights, clean up mrs. smith's code brown, call the doctor on this panic level potassium and get room 2 a cup of ice for her coke while i go pee since i haven't gone in 9hrs? nevermind, it's probably a false alarm and the urgency i feel is from the uti i got from holding it for the past year! besides i have to get to this code blue down the hall anyways...

[mystical0217]

I am not a nurse yet... but your post made me laugh... :nuke: I like your sarcasim

[pandora72, BSN, RN]

i am not a nurse yet... but your post made me laugh... :nuke: i like your sarcasim

glad you liked it. not a lot of people appreciate the art of sarcasm and i am often misunderstood...but my twisted sense of humor keeps me sane (most of the time)

[Mandylou]

We are doing this too. I have found it so difficult to get around to doing this every hour (or two if the LPN is helping me). I get so frustrated!

[Reno1978, BSN, RN]

Our hospital started hourly rounding about 3 months ago. It originally had boxes for all sorts of things to check off hourly (every 2 hours on nights) such as pain, toilet, position, etc., etc.

About 2 weeks ago, they changed it so instead of having to check all these boxes hourly, we just have to initial each hour that we've rounded on the patient and have addressed their needs, which makes things so much easier.

Working in the ICU we thought it was sort of ridiculous since we're in and out of our 2 patients rooms multiple times per hour. But, this was the same form used on the floors too, so they gave it to us as well...but initialing once is much better than checking 10 boxes each hour.

[Dinsey]

A warm blanket? Do they keep a box of mints for the pillow next to the blanket warmer on your unit?

[MissERN]

"Ok Everyone, let's hold chest compressions for a while so that everyone can do their rounding...make sure the lady in Exam 4 who has had the rash for two months has exactly the right amount of ice cubes in her beverage and the gentleman with dry eyes times 6 years in Exam 8 has another warm blanket and then we will all come back and resume this code"

It's an EMERGENCY room...sometimes we ACTUALLY have emergencies come in and, when we do the rashes, dry eyes, ear aches, and tooth aches just have to wait...but no one who hasn't worked in it can understand!!!

[time4meRN]

A warm blanket? Do they keep a box of mints for the pillow next to the blanket warmer on your unit?

No, but I'm suprised we don't have percocet packets tied in a nice little ribbion for each pt. Of course we couldn't have Ultram packets because there are so many pt's allergic to this. ( or Toradol, thorazine, nsaids)

[Riseupandnurse]

Nurses, wake up!! Wonder why we are all doing this stuff at the same time? Management doesn't think of all this nonsense on their own. For that they need a consultant. This is the Studer Group. Google Quint Studer. They are behind all this nonsense. Formerly famous for "Is there anything else you need? I have the time!" :bow:Studer and Press-Ganey will destroy the US health care system before they're done.