TRAINING SESSION FOR NURSES AND HEALTH CARE PROFESSIONALS By Svetlana Cummins Natasha Jerrard

AIMS To raise staff awareness of Intentional rounding (IR) To know the benefits of this approach To know the steps of implementing rounding

OBJECTIVES To understand why rounding is needed To understand how it can affect the patients experience Why it is important to complete IR Who is responsible for completing IR How do we measure its effectiveness

A number of high profile reports have drawn attention to examples of poor standards of what is often called “basic nursing care” – attending to patients’ needs for support with feeding, positioning, personal hygiene and skin integrity. (Parliamentary and health services Ombudsman, 2011; Department of health, 2010). There is a growing body of evidence that suggests more nursing time per patient results in better patient outcomes. ( Cheung, 2008; Aiken, 2002; Kovner, 2002).

History Back to the time of Florence Nightingale, nurses were trained to go around in two’s to assist the patients. It was this routine that helped save the lives of many soldiers during the Crimean war.

Why is Intentional Rounding needed? To provide comfort and reassurance for patients in a calm, orderly work environment To encourage patients to move and prevent pressure areas and DVT To prevent patients falls To raise the patients confidence in staff, making them more approachable To create a safe environment To help improve nutrition and hydration, preventing UTI Reducing social isolation in patients with dementia

FOUR P’s Pressure/Position Potty (Toilet) Pain Place (Environment)

Completing the IR form is not a tick box exercise. At the beginning of each shift introduce yourself to patients and inform them you will be looking after them for the duration of the shift Every two to four hours complete the IR form making sure you encourage patient to move (stand up or walk to toilet) and dependant patients to be repositioned every two hours. Ensure patient not in pain Encourage ALL patients to use the toilet Prompt fluid intake Ensure environment is safe and clutter free Make sure you sign form at the bottom when you have completed Always inform patient you have time and is there anything else they need and that we will be back.

ANY QUESTIONS?

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