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Hourly Rounding

Excellent care to Every Patient, Every Time!

A typical hourly round

“Hi, my name is _____, and I’m here to do hourly rounds.”

Focus on Patient Centered Care

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.

Purposeful and correct rounding?

What does this look like?

The 5 Ps

Why Purposeful Patient Rounding?

ALWAYS address the 5 Ps during hourly rounding.

What the research shows

HCAHPS Improved

Purposeful hourly rounding will help us achieve our goal to “always” deliver exceptional clinical quality, which will improve our HCAHPS scores

  • Pain - assess using 0-10 scale
  • Position - address comfort, changes needed?
  • Personal Care - ask about bathroom needs, empty urinal
  • Placement - call light, phone, table, water within reach
  • Pick-up - tidy room, close blinds

Brings us back to the purpose of providing excellent care to Every Patient, Every Time!

  • Increases nursing staff satisfaction
  • Increases overall quality of care
  • Increases patient satisfaction
  • Decreases the time spent answering call lights
  • Decreases falls
  • Decreases hospital acquired pressure ulcers

MAID ET

Expectation for Hourly Rounding

How is this different

from what we do now?

Principles for more caring communication

  • Proactive rounding for all patients ALWAYS.
  • Every hour on days
  • Every 2 hours on nights

Manage Up - Support peers with positive regard.

  • Set interval rounding- hourly on days/Q2 hours on nights. Rounding will be done correctly and consistently on all patients.
  • Rounding assignments are determined at the start of each shift by RN and PCT.
  • Clearly defined responsibility for RN and PCT.

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.

M

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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.

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