We call it Empower Rounding at our hospital; 4 P's and an E: PAIN, POSITION, POTTY, POs, ENVIRONMENT. Basically we go in every hour, PCAs on odd hours, nurses on even hours. Sometimes we flip, but the nurses must always agree to which hour they'll round. The nurses take 5 pts each on a hall of 10 pts, but the PCA has all 10 pts. This eliminates the PCA from spending their entire shift just rounding on pts! (In the event you can't do your round, let the PCA/nurse know and they'll do it for you: communication!!) The nightshift gets the day's initial vital signs at 0600 so the dayshift PCAs can get quickly get started with their 0700 round.
The most important step, we've found, is communication between the staff. PCAs get report from each other, then they immediately get report from the Nurses. It really makes the morning go by so much better when everybody knows who is who and what pts require what.
When the PCA does the initial round, they put the names of the caregivers on the dry erase board and ask the pt if they have a goal for the day (if pt is confused or unable to communicate, we give them a goal: skin care, turning Q 2hrs, etc). They also explain the rounds for new pts.
As far as the actual round itself, we ask if they are having any pain and if so where & how bad. (After I give pain medicine, I write on the board the next time the pt can get more medicine. I've had so many pts tell me that it relieved them to know when they could get the next dose of something). We suggest going to the potty rather than ask because we've found that asking a pt only gives them the idea that they've got to go after you leave the room. We ask if they are comfortable in their current position and if not, we help them get comfortable. Environment and POs usually go hand-in-hand, where we straighten up the room, make sure the trashcans are within reach of the pt, move the bedside table back to the bed, make sure the water pitcher and cups are within reach, and place the call bell and telephone where the pt can get to it. All of this can be done within a few minutes. Before leaving the room, we explain that we "will be back in to check on you in about an hour" and ask if they need anything else before we go (the video suggested adding "I have time" to that question, but I think that's too cheesy). We no longer say to the pt and/or their family, "call me if you need anything" because that defeats the purpose of doing the round in the first place.
So far, we've seen a tremendous decrease in the number of call outs and if we get them, the pts states that they hit the button by mistake. It only takes a few minutes to do and it increases pt satisfaction overall. For me, I actually have time to take the 15 minute break that is being taken out of my paycheck regardless, I can complete my assessments in the computer, catch up on work emails and any staff education. Even our secretary talks about how bored she is!!