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A typical hourly round
“Hi, my name is _____, and I’m here to do hourly rounds.”
Etiquette Information Empathy
Every patient Every interaction
Use MAIDET communication principles: . After introducing yourself to the patient/family, review the 5 Ps with your patient, take time to listen, offer simple explanations, information and understanding of plan of care. End your rounding visit with closing key words and actions.
“Is there anything else I can do for you?”
(This phrase contributes to lowering call lights as it is designed to elicit requests while you are still there.)
“Mrs. Smith it looks like you have everything you need. Someone will be back to check on you again in about an hour.”
When you tell patients the time you will return, they will begin to cluster their requests in context of hourly rounds rather than relying on the call light system, as long as they trust you will come back within the next hour and that their request is not emergent.
Reduces patient anxiety by ensuring that we consistently provide exceptional clinical quality in a safe compassionate environment.
ALWAYS address the 5 Ps during hourly rounding.
Purposeful hourly rounding will help us achieve our goal to “always” deliver exceptional clinical quality, which will improve our HCAHPS scores
MAID ET
Principles for more caring communication
Manage Up - Support peers with positive regard.
What is important is each staff person knows when they are responsible to round, ensuring rounding is completed hourly.
Acknowledge - Greet everyone in the room (by name if possible.
Introduce - Use your first name, role and state your purpose.
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Duration - Listen to concerns/fears and offer expectations around care, procedures and times.
Explain - Offer simple explanations and gain understanding of plan of care.
Tools - White board updated and explained to patient, hourly rounding magnet, and Get Well Network utilized.