Bedside Report & Hourly Rounding

Roll Out Screen savers with what pts should expect Table Tents in rooms Involvement & Decision making in your care Bedside report to involve you in your care Hourly Rounding to insure your needs are met Minimizing your pain

Create Expectations for Bedside Report Involve patient and families Greet pt and confirm 2 pt identifiers Introduce self and oncoming nurse Write name on white board Give complete handoff at pt bedside Use 21 point nursing Handoff

Bedside Report Run all lines Confirm IVF hanging and rates by both RNs Check Alaris Pump for correct profile and patient VIN Check line dressings and dates

Bedside Report Look at wounds / complete focus assessment Write nursing Goals / Plan on white board Count Narcotics – document in iView Review orders / task list Sensitive information only outside of room

Hourly Rounding Quality of our rounding is as important as the quantity of rounding. Round on all patients every hour. Document this rounding each hour on the log sheet located at each patients bedside. Exceptions- ICU’s, MUPC. Rounding needs to be multidisciplinary.

The “P’s” of Hourly Rounding Every hour, ask our patients &/or their family the 6 P’s: Pain: Ask patient if they are having pain. Position: Ask pt if they want to reposition (bed to chair, turn, etc.). Personal Care: Ask if pt needs assistance to the restroom. Pumps: Check IV site/fluids hanging. Possessions: Assure call light & possessions close. Path: Assure the pt’s path in room is free of clutter.

Hourly Rounding MS Report

IMPLEMENTATION Reestablish expectations Educate Staff Educate pts and families

Measurement of Success NRC Picker Scores How often did nurses explain things in a way that you could understand How often did nurses listen carefully to you How often were you given enough input or say in your care How often were you & your family included in discussions about your care

Patient Audits Will do a blitz of auditing 10 pts a week for 4 weeks with data sent to Becky Did your last nurse introduce your current nurse? To what extent did you feel involved in the shift report communications Did the nurse allow you to ask questions during the shift report?

Did your nurse listen carefully to your questions? Were your questions explained in a way that you could understand? Do you feel that this type of communication makes you and your family feel included in your care?

Weekly Hourly Rounding Audit Date: ________   5West number of times hourly rounding completed in last 24hrs number of hourly rounding opportunities in last 24 hours comments UNIT Bed 4-1 Recommendations Bed 5-1 12 20 Bed 6-1 14 24 Bed 10 **One 24 hr period/week x 4 weeks Bed 11-1 Bed 12 Bed 13-1 If > 90% compliance, continue with spot checks Bed 14-1 at manager's discretion Bed 15-1 Bed 16-1 Bed 17-1 Bed 17-2 Report results to Becky Wright. Bed 18-1 16 18 Bed 18-2 Bed 19-1 Bed 25 Bed 26 Bed 27 Bed 28 23 Bed 29 Bed 30 Bed 31 Bed 32 Bed 38-1 Bed 39-1 Bed 41-1 Bed 41-2 Bed 42-1 Bed 56-3 Total 113 134 84.33% #DIV/0!

Bedside Report & Hourly Rounding What questions do you have? Thank you!