Teaching Rounds

[afaylor01247]

Hello everyone,

I am looking for information regarding the use of what is referred to as "teaching rounds" or "clinical rounds." During these rounds a nurse educator or a member of the leadership staff (charge nurse) for the unit enters a patient's room with the nurse. During this visit, the charge nurse has the opportunity to speak with the patient regarding any concerns they may have, in addition to scanning the room for environmental issues, etc. The experience is to be used as a learning tool for new nurses, as well as not-so-new nurses. It is an opportunity for the charge nurse to review the care provided and provide feedback to the nurse providing the patient care. I read some where that the University of Rochester School of Nursing has used these types of rounds and I have tried contacting them, but received no response. Just curious if anyone has experience with this method of teaching.

Thanks,

afaylor

[rdjfraser]

There are a lot of different style of rounds.

I have seen an interdisciplinary approach, where MD/social/OT/RN(charge nurse)/PT meet to discuss patients progress, any emerging issues, plans for making sure patients have supports before discharge.

I've also seen a medical rounding model which you described. Unfortunately I don't have any 'materials' for either.

[Jay2daq]

We dont really have rounds like you are saying, but we have an hourly rounding sheet. This hourly rounding sheet hangs on their door and it will say like:

1200-1300

1300-1400

and so on, for a full 24 hours. It is the responsibility of the RN and the CNA assigned to that patient to be in there every hour. We ask questions about pain, tolieting or any other concerns. Our fall rate has reduced considerably as well as patient satisfaction as increased! All we do is sign that we HAVE been in there and talked to the patient about those things.

personally i think it should be place inside the room rather than the door because i've seen people just sign it and walk off. They were not in there!!!

Most patients (i.e. non confused) know what that sheet is, as they are told when they are admitted. So they see people sign it and walk off....very sad!

hope that helped a little atleast :) probably not what you were looking for but thats how we do it.